Call for Pilot Study Proposals

Name:

Institution Name:

Mailing Address:

City, State, Zip:

Bus. Telephone:

Home Telephone:

Fax Number:

E-mail address:

Fees

(check applicable fee(s)):
	$10	All students and post-doctoral trainees
	$35	Faculty, staff, and non-students
	$15	Late registration fee (after May 1, 2008)

Fees cover the following:
all conference materials, continental breakfast, lunch, and breaks

Payment Method:

Check
Make check payable to Emory University. Please note on check Registration Fee, SCRS School of Nursing

Amount enclosed $

Mail completed registration with payment to:

2008 Symptoms Center Research Symposium
Nell Hodgson Woodruff School of Nursing
Emory University
c/o Jean Harrell
1520 Clifton Road
Atlanta, GA 30322

NOTE: Registrations that are canceled up to 15 days before the conference will be refunded less a $10 administrative fee.

If you have any questions, please contact Jean Harrell at
(404) 712-2857 or e-mail at aharrel@emory.edu.

Symptoms

Center for Public Health and Behavioral Nursing research