Who: |
American Lung Association ® of Tennessee |
What: |
Freedom From Smoking ® |
| Clinic Facilitator Training | |
When: |
Thursday, September 20, 2007 |
| 8:30 am – 4:30 pm | |
|
Friday, September 21, 2007 |
| 9:00 am – 1:00 pm | |
Where: |
Ft. Sanders Sevier Medical Center |
|
Robert F. Thomas Conference Room |
|
Sevierville, TN |
Fees:
|
$250; or $225 for 2 nd, 3 rd, 4 th, etc. registrant from the same organization |
E-mail registration form to
Margaret Smith
Or
Mail to address shown below
Registration Information:
Name: |
Name: |
Organization: |
Organization: |
Address: |
Address: |
City, State & Zip: |
City, State & Zip: |
Phone: |
Phone: |
Email: |
Email: |
Payment Information:
Pay by check:
Make payable to American Lung Association of Tennessee, and mail to:
One Vantage Way , Suite B-130, Nashville, TN 37228
Pay by credit card:
|
Check One |
|
MasterCard |
|
Amount: |
Visa |
|
Card #: |
Discover |
|
Expiration: |
American Express |
|
Signature |
