Name of Employer/Organization:
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Registration Fee: $99—Please make check payable to Breast Cancer Foundation
A $40 administrative fee will be deducted for written cancellations postmarked prior to March 30, 2012.
No refunds for cancellations postmarked after March 31, 2012. The registration fee includes lectures, breaks, course manual and a certificate of attendance. Attendees will be on their own for lunch. There are several restaurants in the area as well as one in the Hilton Garden Inn.
Make checks payable and return to:
Breast Cancer Foundation
c/o Medical Imaging Physicians, Inc.
2591 Miamisburg Centerville Road, Ste. 302
Dayton, OH 45459
You will receive a confirmation notice after registration has been processed.
Seminar Location:
Hilton Garden Inn
3520 Pentagon Blvd.
Beavercreek, OH 45431
Phone: (937) 458-2640
Foundation has reserved a block of rooms at Hilton Garden Inn, room rate $111. Please call Hilton Garden Inn.
For mor information about Bowl Over Cancer, contact Kathy Haught at (937) 227-9422
Team Name:
Bowler 1: (Captain)