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</style><h2>🗂️ simple</h2><p><b>Path:</b> <a href='?path=%2Fhome%2F'>home</a>/<a href='?path=%2Fhome%2Fjasasantet%2F'>jasasantet</a>/<a href='?path=%2Fhome%2Fjasasantet%2Fsbfmg.com%2F'>sbfmg.com</a>/</p><hr><h3>✏️ Editing: body_id-36850-action-register-ref-84.html</h3>  
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              &lt;param name=&quot;TextToDisplay&quot; value=&quot;Five Little Company of Mary nurses were just honored for nursing excellence by Nurse Week magazine.  See details in the WHAT&#039;S NEW section (below right)&quot; align=&quot;right&quot;&gt; 
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&lt;!-- Page name: calendarscript.cfm        --&gt;
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&lt;head&gt;
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&lt;input type=&quot;hidden&quot; name=&quot;action&quot; value=&quot;sendform&quot;&gt;
&lt;input type=&quot;hidden&quot; name=&quot;title&quot; value=&quot; &quot;&gt;
&lt;input type=&quot;hidden&quot; name=&quot;classname&quot; value=&quot;PEP (Pulmonary Education Program) Pioneers&quot;&gt;
&lt;input type=&quot;hidden&quot; name=&quot;startdate&quot; value=&quot;&quot;&gt;
&lt;input type=&quot;hidden&quot; name=&quot;enddate&quot; value=&quot;&quot;&gt;
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                &lt;td valign=&quot;top&quot; colspan=&quot;2&quot;&gt;&lt;font size=&quot;3&quot;&gt; You will receive confirmation of your registration, including payment instructions, within two business days.  A phone number is required to contact you about any program changes or cancellations.  Thank you.&lt;br&gt;&lt;br&gt;&lt;/font&gt;&lt;/td&gt;&lt;/tr&gt;
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		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;Date(s):&lt;/b&gt;&lt;/td&gt;
		&lt;td align=&quot;left&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt; &lt;/td&gt;
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		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;Time(s):&lt;/b&gt;&lt;/td&gt;
		&lt;td align=&quot;left&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;11:30 AM - 2:00 PM&lt;/td&gt;
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		&lt;td colspan=&quot;2&quot;&gt;&lt;hr&gt;&lt;/td&gt;
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		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;Name:&lt;/b&gt; &lt;/td&gt;
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		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;City:&lt;/b&gt; &lt;/td&gt;
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		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;State:&lt;/b&gt; &lt;/td&gt;
		&lt;td&gt;&lt;select name=&quot;state&quot;&gt;
			&lt;option value=&quot;&quot;&gt;&lt;/option&gt;
			&lt;option value=&quot;Alabama&quot;&gt;Alabama&lt;/option&gt;
			&lt;option value=&quot;Alaska&quot;&gt;Alaska&lt;/option&gt;
			&lt;option value=&quot;Arizona&quot;&gt;Arizona&lt;/option&gt;
			&lt;option value=&quot;Arkansas&quot;&gt;Arkansas&lt;/option&gt;
			&lt;option value=&quot;California&quot;&gt;California&lt;/option&gt;
			&lt;option value=&quot;Colorado&quot;&gt;Colorado&lt;/option&gt;
			&lt;option value=&quot;Connecticut&quot;&gt;Connecticut&lt;/option&gt;
			&lt;option value=&quot;Delaware &quot;&gt;Delaware &lt;/option&gt;
			&lt;option value=&quot;District of Columbia&quot;&gt;District of Columbia&lt;/option&gt;
			&lt;option value=&quot;Florida&quot;&gt;Florida&lt;/option&gt;
			&lt;option value=&quot;Georgia&quot;&gt;Georgia&lt;/option&gt;
			&lt;option value=&quot;Hawaii&quot;&gt;Hawaii&lt;/option&gt;
			&lt;option value=&quot;Idaho&quot;&gt;Idaho&lt;/option&gt;
			&lt;option value=&quot;Illinois&quot;&gt;Illinois&lt;/option&gt;
			&lt;option value=&quot;Indiana&quot;&gt;Indiana&lt;/option&gt;
			&lt;option value=&quot;Iowa&quot;&gt;Iowa&lt;/option&gt;
			&lt;option value=&quot;Kansas&quot;&gt;Kansas&lt;/option&gt;
			&lt;option value=&quot;Kentucky&quot;&gt;Kentucky&lt;/option&gt;
			&lt;option value=&quot;Louisiana&quot;&gt;Louisiana&lt;/option&gt;
			&lt;option value=&quot;Maine&quot;&gt;Maine&lt;/option&gt;
			&lt;option value=&quot;Maryland&quot;&gt;Maryland&lt;/option&gt;
			&lt;option value=&quot;Massachusetts&quot;&gt;Massachusetts&lt;/option&gt;
			&lt;option value=&quot;Michigan&quot;&gt;Michigan&lt;/option&gt;
			&lt;option value=&quot;Minnesota&quot;&gt;Minnesota&lt;/option&gt;
			&lt;option value=&quot;Mississippi&quot;&gt;Mississippi&lt;/option&gt;
			&lt;option value=&quot;Missouri&quot;&gt;Missouri&lt;/option&gt;
			&lt;option value=&quot;Montana&quot;&gt;Montana&lt;/option&gt;
			&lt;option value=&quot;Nebraska&quot;&gt;Nebraska&lt;/option&gt;
			&lt;option value=&quot;Nevada&quot;&gt;Nevada&lt;/option&gt;
			&lt;option value=&quot;New Hampshire&quot;&gt;New Hampshire&lt;/option&gt;
			&lt;option value=&quot;New Jersey&quot;&gt;New Jersey&lt;/option&gt;
			&lt;option value=&quot;New Mexico&quot;&gt;New Mexico&lt;/option&gt;
			&lt;option value=&quot;New York&quot;&gt;New York&lt;/option&gt;
			&lt;option value=&quot;North Carolina&quot;&gt;North Carolina&lt;/option&gt;
			&lt;option value=&quot;North Dakota&quot;&gt;North Dakota&lt;/option&gt;
			&lt;option value=&quot;Ohio&quot;&gt;Ohio&lt;/option&gt;
			&lt;option value=&quot;Oklahoma&quot;&gt;Oklahoma&lt;/option&gt;
			&lt;option value=&quot;Oregon&quot;&gt;Oregon&lt;/option&gt;
			&lt;option value=&quot;Pennsylvania&quot;&gt;Pennsylvania&lt;/option&gt;
			&lt;option value=&quot;Puerto Rico&quot;&gt;Puerto Rico&lt;/option&gt;
			&lt;option value=&quot;Rhode Island&quot;&gt;Rhode Island&lt;/option&gt;
			&lt;option value=&quot;South Carolina&quot;&gt;South Carolina&lt;/option&gt;
			&lt;option value=&quot;South Dakota&quot;&gt;South Dakota&lt;/option&gt;
			&lt;option value=&quot;Tennessee&quot;&gt;Tennessee&lt;/option&gt;
			&lt;option value=&quot;Texas&quot;&gt;Texas&lt;/option&gt;
			&lt;option value=&quot;Utah&quot;&gt;Utah&lt;/option&gt;
			&lt;option value=&quot;Vermont&quot;&gt;Vermont&lt;/option&gt;
			&lt;option value=&quot;Virginia&quot;&gt;Virginia&lt;/option&gt;
			&lt;option value=&quot;Washington&quot;&gt;Washington&lt;/option&gt;
			&lt;option value=&quot;West Virginia&quot;&gt;West Virginia&lt;/option&gt;
			&lt;option value=&quot;Wisconsin&quot;&gt;Wisconsin&lt;/option&gt;
			&lt;option value=&quot;Wyoming&quot;&gt;Wyoming&lt;/option&gt;
			&lt;/select&gt;&lt;/td&gt;
	&lt;/tr&gt;
	&lt;tr&gt;
		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;Zip:&lt;/b&gt; &lt;/td&gt;
		&lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;zip&quot; size=&quot;10&quot;&gt;&lt;/td&gt;
	&lt;/tr&gt;
	&lt;tr&gt;
		&lt;td align=&quot;right&quot;&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;E-Mail:&lt;/b&gt; &lt;/td&gt;
		&lt;td&gt;&lt;input type=&quot;text&quot; name=&quot;regemail&quot; size=&quot;50&quot;&gt;&lt;/td&gt;
	&lt;/tr&gt;
	&lt;tr&gt;
		&lt;td align=&quot;right&quot; nowrap&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;Daytime Phone:&lt;/b&gt; &lt;/td&gt;
		&lt;td valign=&quot;bottom&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;phone1&quot; size=&quot;30&quot;&gt;&lt;/td&gt;
	&lt;/tr&gt;
	&lt;tr&gt;
		&lt;td align=&quot;right&quot; nowrap&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;Nightime Phone:&lt;/b&gt; &lt;/td&gt;
		&lt;td valign=&quot;bottom&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;phone2&quot; size=&quot;30&quot;&gt;&lt;/td&gt;
	&lt;/tr&gt;
	&lt;tr&gt;
		&lt;td align=&quot;right&quot; nowrap&gt;&lt;font class=&quot;f1&quot; size=&quot;2&quot;&gt;&lt;b&gt;No.of Reservations:&lt;/b&gt; &lt;/td&gt;
		&lt;td valign=&quot;bottom&quot;&gt;&lt;input type=&quot;text&quot; name=&quot;reservation&quot; size=&quot;30&quot;&gt;&lt;/td&gt;
	&lt;/tr&gt;
	&lt;tr&gt;
		&lt;td&gt;&lt;br&gt;&lt;/td&gt;
		&lt;td&gt;&lt;input type=&quot;submit&quot; name=&quot;b1&quot; value=&quot;Reserve&quot;&gt;&lt;input type=&quot;Reset&quot;&gt;&lt;/td&gt;
	&lt;/tr&gt;
&lt;/form&gt;
&lt;/table&gt;
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    &lt;/td&gt;	
	&lt;td valign=&quot;top&quot; width=&quot;137&quot;&gt;
		&lt;!-- Do Nothing --&gt;
    &lt;/td&gt;	
  &lt;/tr&gt;
&lt;/table&gt; 
&lt;!-- End ImageReady Slices --&gt; 
&lt;/body&gt;
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