***********************************ContactsLeyden V Florido, RN, MAN0917.446.87.930922.869.04.85Ma. Theresa E. Panelo, RND0916.602.23.350922.360.06.18Menchie C Mangalino0999.517.74.660922.887.51.64Yancy T Camba0907.290.25.750922.887.51.66Office Address:94 new 571 old Apitong StreetMarikina Heights, Marikina CityTelefax: (02) 942.03.13Website: www.adnep.org
invite you to the
8th JointAnnual Convention
“
Diabetes EducationLevels Up”
August 27 and 28, 2010,Century Park HotelCity of Manila
Philippine Association ofDiabetes Educators, Inc (PADE)andAssociation ofDiabetes NurseEducators of thePhilippines, Inc (ADNEP)
R e g i s t r a t i o n F o r m
P l e a s e p r i n t
C o m p l e t e N a m e :_____________________________________________________________________________________________________ P r o f e s s i o n :__________________________________ P R C N o ._____________________ E x p i r y D a t e :________________________________ I n s t i t u t i o n / C o m p a n y :_________________________________________________________________________________________________ I n s t i t u t i o n A d d r e s s :_____________________________________________________________________________________________________________________________________________________________________________________________________________________ M o b i l e N o :_________________________________________ E m a i l A d d r e s s :_________________________________________________ H o w d i d y o u l e a r n a b o u t t h i s c o n v e n t i o n ? ( P l s c h e c k a l l t h a t a p p l i e s )___ F l i e r ,___ P o s t e r ,___ E m a i l ,___ A D N E P w e b s i t e ,___ T e x t ,___ C o l l e a g u e ,___ N e w s p a p e r ,___ O t h e r_____________________ W h a t m o t i v a t e d y o u t o a t t e n d t h i s c o n v e n t i o n ? ( P l s r a n k a c c o r d i n g t o p r i o r i t y – 1
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