TNCC – Instructor Class September 8, 2012 Shriners Burns Hospital-Galveston 815 Market Street Galveston, Texas 77550 Cost: $ 175.00 ** make checks payable to Buffalo Consulting Limit 12 students Please Print: Name: _________________________ Facility/dept.: ____________________ Address: ________________________ City/State/zip: ____________________ Email: __________________________ Phone number: ( ) ______________ Cancellation policy: A $25 non-refundable administrative cost will be forfeited along with $50 for the cost of the book. Course Director: Michael Buffalo 409-370-0806 (cell) michael.carmine.buffalo@gmail.com Send check and registration form to: Buffalo Consulting 9339 Jamaica Beach Galveston, Texas 77554-9657 The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation In accordance with the Americans with Disabilities Act, please advise Cynthia Jenkins if you have any disability that requires special materials and/or services so that appropriate personnel can be advised.