Men's Health Symposium Registration Form

Men's Health Symposium Registration Form

For Questions, please email: loladjeff@yahoo.com
Name
Credentials
Email address
example@example.com
Cell phone
Please select your method of payment for the Continuing Education Units (CEU)
Please select your method of payment for the Continuing Education Units (CEU):

Zelle: 01FBCBNA@gmail.com - Memo: Men's - $45.00CashApp: $FBCBNA1 - Memo: Men's - $45.00 + convenience fee: $1.00Check/ Money Order - $45.00 payable and mailed to: Fort Bend County Black Nurses Association. P.O. Box 841643 Pearland Texas, 77583Attending without receiving CEU Credit (No payment necessary)
Should be Empty:

Please select your method of payment for the Continuing Education Units (CEU)