Name:__________________________________________________________________________________
Address:_______________________________________________________________________________
MASNRN Member_________Yes_________________NO
Phone:_________________________________________________________________________________
E-mail Address:________________________________________________________________________
School:_____________________________Level:_______________________Enrollment:___________
Please forward Response Form with cash or check payable to: MASNRN.
Mail to: MASNRN
c/o Kathy O'Neill RN, MS
Boston College-Cushing Hall
140 Commonwealth Ave.
Chestnut Hill, Massachusetts 02467
For further information email: Kathy O'Neill RN, MS
oneillky@bc.edu
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