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PPRNet - Primary (Care) Practices Research Network

PPRNet 20th Annual Meeting - August 27-29, 2015
REGISTRATION (For registration before June 1, 2015; Later registration cost will be $100 increase/per registrant)
Physician, Nurse Practitioner, Physician Assistant - $400
Clinical or administrative staff - $300
2015 PPRNet cruise meeting attendees - $100 (covers hotel meeting, breakfast, snacks and reception)

Registration Information - (Fields marked with * are required)
Role in Practice:

Additional Attendees (Please complete all fields below)
2. Role in Practice:

3. Role in Practice:

4. Role in Practice:

5. Role in Practice:

If you have more to register, complete this form and start a new online registration form.
Select the attendees and number, then complete the payment section below.
REGISTRATION

Cancellation and Refund Policy
Refunds will only be honored if the cancellation is made on or prior to 6/1/2015 and a 10% cancellation fee will be withheld to cover refund processing costs.
Cancellations after the deadline of 6/1/2015 cannot be refunded but may be transferred to a colleague, or applied to another PPRNet event. No-shows cannot be refunded.
I have read and accept the above cancellation and refund policy statements .*

Credit Card Payment Information
Credit card payments will be directed to the SC.gov website for secure payment processing.
You will receive a receipt from SC.gov.
If you do not receive confirmations for payment from PPRNet and SC.gov contact us at pprnet@musc.edu or call 843-876-1212.

 
 
 
 
 
 

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