ADNEP 8th Joint Annual Convention of PADE and ADNEP | Cheque | Nursing

Registration Form  Please print  Complete Name: _____________________________________________________________________________________________________  Profession: __________________________________  PRC No.

 _____________________ Expiry Date: ________________________________  Institution/Company: _________________________________________________________________________________________________  Institution Address: __________________________________________________________________________________________________  ___________________________________________________________________________________________________________________  Mobile No: _________________________________________       Email Address: _________________________________________________  How did you learn about this convention? (Pls check all that applies)              ___ Flier, ___ Poster, ___ Email, ___ ADNEP website, ___ Text,   ___ Colleague, ___ Newspaper, ___ Other _____________________  What motivated you to attend this convention? (Pls rank according to priority – 1st, 2nd, 3rd, etc…)  ___ Convention Topics, ___ Expertise of Speakers, ___ Venue, ___ Reasonable Price, ___ CPE Units, ___ Other _________________    Please fill in the remaining  payment details before sending this through fax:  Branch of payment: _______________________________   Date of Transaction: ________________________   Time of Transaction: _______________________________   Amount: _________________________________ 

Contacts Leyden V Florido, RN, MAN 0917.446.87.93 0922.869.04.85

Ma. Theresa E. Panelo, RND 0916.602.23.35 0922.360.06.18

Menchie C Mangalino 0999.517.74.66 0922.887.51.64

Yancy T Camba 0907.290.25.75 0922.887.51.66

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Office Address: 94 new 571 old Apitong Street Marikina Heights, Marikina City Telefax: (02) 942.03.13 Website: www.adnep.org

invite you to the

8th Joint Annual Convention

Philippine Association of Diabetes Educators, Inc (PADE) and Association of Diabetes Nurse Educators of the Philippines, Inc (ADNEP)

Diabetes Education Levels Up”
August 27 and 28, 2010, Century Park Hotel City of Manila

Welcome
Objectives At the end of the 2 days convention, the participants will be able to: 1) Boost Diabetes Education practice. 2) Reinforce partnership and communication among the members of the diabetes healthcare team. 3) Augment knowledge on the new developments related to the Diabetes Mellitus disease process and management. Topics 1. Latest Trends in Diagnosis and Management of DM 2. Perspectives in Diabetes Education 3. Find meaning in numbers: Interpret CBG results in self-management of diabetes 4. Avoiding Errors Associated with Insulin Therapy 5. A Review on Molecular and Metabolic Dysfunction in Diabetes 6. Filipino Food Items 7. Opportunities for Diabetes Education: A Panel Discussion 8. Linking To Create Impact At The Grassroots Level 9. Hypertension and Dyslipidemia 10. eLearning 11. Facilitating Skills Development 12. Poise and Looking Good Participants Physicians Nurses Nutritionist-Dietitians Students Interested Health Professionals

Date and Time August 27 and 28, 2010, Friday and Saturday 8:00 am – 5:00 pm Venue Century Park Hotel City of Manila Fee
Schedule of Fees Members* Nonmembers

Please fax or email validated deposit slip with the registration form immediately to: Attention: PADE Telefax: (02) 942-03-13 or (02) 470-89-42 or (02) 869-04-78 Email: convention@adnep.org

Before Aug 13 After Aug 13

2,500 3,500

3,000 4,000

*Waived Membership Fee for 2010 - Entitled members are those who updated their membership last August 2009 PADE/ADNEP convention, ADNEP General Assembly 2010 and graduates of Diabetes Education Training (Batches of October 2009, Summer 2010 [Iloilo and Marikina], & LRI Lay Educators). Membership Dues

II. Cash 1) Ma. Theresa E. Panelo, RND c/o CDC @ Med Central, Ground Floor, Robinson’s Galleria Ortigas, Mandaluyong City 2) Maria Bernadette G. Platon, RND c/o UST Hospital Dietary España, Manila City 3) Maria Luisa H. Lopez, RN, RM, MAN College of Nursing Pamantasan ng Lungsod ng Pasig
CANCELLATIONS A 50% refund will be made for registration cancellations received before August 16, 2010. No refunds can be made thereafter.

Regular Member General Member

300.00 500.00

The registration fee includes 2 snacks and 1 lunch for 2 days, and Certificate with CPE units. Kits and souvenir programs are only available for pre-registrants plus exciting prizes await them. Fees may be paid: I. Bank Deposit Account name: Philippine Association of Diabetes Educators Account No.: 5951-0656-78 Bank: BPI Family Savings Bank For check payments, please make check payable to Philippine Association of Diabetes Educators. Personal checks are not accepted.

You may also register through our website at www.adnep.org Dress code: Business/ Smart Casual Attire . Thank you and see you on August 2010!

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