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 [email protected] or 770.904.5296
with any questions
Georgia perinatal quality collaborate
2019 Annual Meeting — Meeting Information