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Breast Cancer Foundation
Event Registration 2018





Essentials in Mammography Seminar -March 24, 2018

First Name: Last Name: Title:
City: State: Zip: County:
Daytime Phone #: Fax #:
Email Address:

Name of Employer/Organization:
Employer/Organization Address:
City: State: Zip: County:

Years of Experience in Mammography:

Registration Fee: $99 — Pay through PayPal, or by check payable to Breast Cancer Foundation.
When you have completed your registration and hit 'Submit' below, you will be directed to a page with the option to pay through PayPal.

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A $40 administrative fee will be deducted for written cancellations postmarked prior to March 1, 2018. 
No refunds for cancellations postmarked after March 2, 2018. The registration fee includes lectures, breaks, course manual and a certificate of attendance. Attendees will be on their own for lunch. 
Soup & Salad Bar will be available in the Great American Grill at the Hilton Garden Inn for $10 including gratuity, tax & drink. No regular menu will be offered. There are several restaurants in the area (located near the Mall at Fairfield Commons).

Make checks payable and return to:
                        Breast Cancer Foundation
                        c/o Medical Imaging Physicians, Inc.
                        2591 Miamisburg Centerville Road, Ste. 302
                        Dayton, OH 45459

You will receive a confirmation notice after registration has been processed. If you have any questions, please call Brittany at (419) 307-1278.

Seminar Location:
                        Hilton Garden Inn
                        3520 Pentagon Blvd.
                        Beavercreek, OH 45431
                        Phone: (937) 458-2640

Foundation has reserved a block of rooms at Hilton Garden Inn. Reservations must be made no later than March 2, 2018 to receive the group rate.
Please call Hilton Garden Inn at 937-458-2650 or 877-STAY-HGI directly for hotel reservations and ask for the Breast Cancer Foundation rate/group code, BCF or go on line at www.daytonbeavercreek.hgi.com, enter arrival and departure date, click the "Add Special Rate Code" button and enter BCF into the Group Code box. Next click "Check Availability" button.