Please submit your registration with check_ money order _made out .rtf

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					                                                               Wednesday, March 7, 2012
Advocacy Day                                                   MHA Capitol Advocacy Center
We are very excited to announce the 5th annual MONE            110 W. Michigan Ave. Ste. 1200
Advocacy Day. Please join your MONE colleagues on              Downtown Lansing
Wednesday, March 7 at the state capitol to discuss
issues impacting nursing and the well-being of our state
with key legislators and other state officials.

Appointments with state Senators and Representatives
from your district will be scheduled for you. Briefing
materials, appointment information, and talking points
will be available at the meeting that morning.

This activity will provide 2.5 contact hours for nurses by
Madonna University College of Nursing and Health
(OH-299. 2/1/2013, an approved provider of continuing
nursing education by the Ohio Nurses Association
(OBN-001-91), an accredited approver by the American
Nurses Credentialing Center’s Commission on
Accreditation. Attendance for the entire day,
completion, and submission of an evaluation form are
required to receive a contact hour certificate.

For questions about advocacy day contact Anita Heyman
at (269) 226-6617 or

For questions or cancellations on 3/27 contact Stephanie
Please submit your registration with check, money order (made out to MONE) or credit card for
$50. Member registration is requested by 2/17. ** Student registrations will be accepted based
Taylor at (517) 703-8629
on available space 2/20 to 2/27.

Please submit your registration with $50 check, money order, or credit card payment to:

                Stephanie Yager (Fax 517-703-0628)
                MHA Capitol Advisory Center
                110 W. Michigan Ave., Suite 1200
                Lansing, MI 48933

         Charge: _ Visa ___MasterCard

         Card Holder Name:        ________

         Account #:                                          Exp. Date:    CV Code:

 Name:                                                           MONE District #: ____

 Title: _______________________________________________________________

Hospital/Employer: _____________________________________________________

Address: _____________________________________________________________

Contact phone number:

Cell phone number: ___________________E-mail: ____________________________

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