Date/Time Date(s) - 04/12/2027 - 04/13/202712:00 am
Location Fawcett Event Center at OSU
Full Name *
Title
Discipline * Nurse EP RT Dietitian Psychosocial Other
Facility Name
OACVPR/ AACVPR Member? * Member Non-Member
Email *
Please confirm correct email *
Preferred Address * Work Home
Address Line 1 *
Address Line 2
City *
State *
Zip *
Phone
Meal Choice * Standard Box Lunch Vegetarian Gluten free Vegetarian AND Gluten free
Days Attending * Monday night only Tuesday only Monday and Tuesday
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