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Adirondack Society of Physician Assistants
20th Annual ASPA Winter CME Weekend

Registration Information
Early registration is advised

Fees:
$200.00 Full Program
$100.00 One day Attendance
$ 70.00 Student
Or Per credit hour : $20.00 --- max of 5 hours


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:

Make checks payable to : ASPA
Mail to : Mary Lynne Cloutier, RPA-C
P.O. Box 1243
Tupper Lake, NY 12986

NAME _______________________________________________
TITLE________________________________________________
SPECIALTY____________________________________________
ADDRESS_____________________________________________
EMAIL_______________________________________________
PHONE_______________________________________________

Please provide email address for confirmation

(pdf version)