georgia perinatal quality collaborate 2019 annual meeting registration … · 2019-02-22 ·...

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Georgia perinatal quality collaborate

2019 Annual Meeting — Registration Form

Mail Completed Registration Form

and Check to:

GOGS

2925 Premiere Pkwy

Ste 100

Duluth, GA 30097

Please note that your attendance is NOT guaranteed until GOGS has received payment.

Once payment has been received, a confirmation of your registration will be emailed to you.

(1 registration form per person)

Room Block and Hotel See reverse side for Room Block and Hotel information. Room Block rates are available until April 4, 2019 or until room block is full.

Attendee’s Information

Contact Amanda Banks at abanks@gaobgyn.org or 770.904.5296

with any questions

Georgia perinatal quality collaborate

2019 Annual Meeting — Meeting Information

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