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Adirondack Society of Physician Assistants
22nd Annual ASPA Winter CME Weekend-2010

Registration Information
Early registration is advised

Fees:
$250.00 Full Program - Advanced Registration
$275.00 Full Program - Same day registration
$100.00 One day attendance
$ 70.00 Student
Or $25.00 per credit hour - max of 5 hours

Bring a Friend Savings:
Register with a first time attendee and you each pay only $200.
Just send your forms in together.


Registration Desk:
Thursday, 10:00am to 5:30 pm.
Friday thru Saturday during conference hours.


Exhibits:
Will adjoin the lecture room. Participants are encouraged to visit this area during the breaks. Refreshments will be provided in this area.

Credits:
20 hours of Category 1 CME. (approval Pending)
Certificates available on final day of the Conference


CME Registration/Payment : Print this page and fill out the form below: (pdf version coming soon)

Make checks payable to : ASPA
Mail to : ASPA/Linda Sugent-Gray PA
15 Maple Lane
Chestertown, NY 12817

NAME _______________________________________________
TITLE________________________________________________
SPECIALTY____________________________________________
ADDRESS_____________________________________________
EMAIL_______________________________________________
PHONE_______________________________________________

Please provide email address for confirmation
:

_____________________________________________________

Questions? Please contact us at cme@adksap.org