Faith Community Nurse Webinar Series

Faith Community Nurse Webinar Support
Provider: Baptist Hospitals of Southeast Texas (BHSET)
Host: Rebekah Seymour, MSN, RN, Congregational Health Ministries Coordinator & Educator

Cost for each Webinar: $25 per person and the Fall Conference in October will be $50

FCN Webinar Registration Form

What would you like to register for?(Required)

Webinar - $25 per person

Fall Conference - $50 per person

Which webinar would you like to attend?(Required)

Webinar Registration Fee

Price:

Fall Conference Registration Fee

Price:

Name(Required)

First Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Is your card's billing address the same as your home address?(Required)

Yes

Billing Address

Street Address Address Line 2 City State ZIP Code

Total

Credit Card

Card Details

Cardholder Name

Secure Donation

FCN Webinar Registration Form

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