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National PeriAnesthesia Nurses Association
Racing Into the Future
NAPAN/OPANA 2004
May 28th ­ 30th Hamilton, Ontario
Ontario PeriAnesthesia Nurses Association


Name: _________________________________________Home Address:_____________________________________________

City___________________________________Province__________________ Postal Code: _____________________________

Home Phone: (____) __________________________ e-mail: ______________________________________________________

Hospital Represented:

Full/Correct Name (This name will appear on the name badge): _____________________________________________________

Full Address: ___________________________________City:_____________________ Postal Code: _____________________

Work Phone: (____) ________Ext: ____ Work Fax: (____) _________e-mail: _________________________________________

You must include your Provincial Membership # to receive the discounted rate for members:____________________________

CONFERENCE REGISTRATION FEES
Check Appropriate Box(es) NAPAN/ Provincial Member Non Member
Deluxe Weekend Package* May 28th to May 30th, 2004 $255.00 $295.00
Saturday Only May 29th, 2004 $175.00 $195.00
Sunday Only May 30th, 2004 $120.00  
OPANA Membership
(includes membership in NAPAN)
Join today and you can access the total member rate above.
Membership valid until Dec. 31, 2004
$40.00  
*Deluxe package includes wine and cheese reception Friday May 28th,
Breakfast, lunch and breaks Saturday May 29th, and Breakfast and snack Sunday May 30th.
PAYMENT: Must Accompany Registration by Monday, May 2nd, 2004.
Cheque or Money Order enclosed for: $_____________ Please make payable to: NAPAN/OPANA 2004 Conference
Mail to: Bonnie Hugill, NAPAN OPANA Conference, McMaster University/Anesthesia, 2U1,
1200 Main Street West, Hamilton, ON L8N 3Z5
Fax 905 523-1224, Phone 905 521-2100 ext 75171
?Question: email: [email protected] napanc.org www.opana.org
Airport Pickups from Hamilton Airport on Friday May 28th, 2004 ARRIVALS ONLY!
Please e-mail your arrival time to:
Our Conference Location is:
The Hamilton Sheraton
116 King Street West,
Hamilton, ON
L8P 4V3

Phone: 905 529-5515
www.sheraton.com/hamilton
Single: $135.00 Double: $135.00 Deluxe Guest Room upgrade: $15.00 Additional person $15.00
Cancellation Policy: A refund will be issued if requested in writing, on or before May 10th, 2004. A $35.00 administration fee will be levied on all refunds. No refunds will be given after May 10th, 2004.

Financial Assistance:
Bursaries may be available for Ontario RN’s and RPN’s from the Nursing Education Imitative, which is funded by the Ontario Ministry of Health and Long Term Care and administered through RNAO and RPNAO. For additional details: RN’s contact the RNAO at 416 599-1925 or visit www.rnao.org and RPN’s contact RPNAO at 905 602-4664 or visit www.rpnao.org

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