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Upcoming Events

Event 

Title:
TSMA Annual Conference Registration Form April 28-29, 2017 Northeast Chapter
When:
04.28.2017 - 04.29.2017 
Category:
TNSMA Events

Description

TSMA ANNUAL STATE CONFERENCE

APRIL 28-29, 2017

NORTHEAST CHAPTER


REGISTRATION


NAME__________________________________________________________

ADDRESS________________________________________________________

MEMBER # OR LAST 4 DIGITS OF SOCIAL SECURITY #______________________

CHAPTER_________________________________________________________

MEMBER__________          NON-MEMBER________

REGISTRATION FEES

ATTENDING FRIDAY AND SATURDAY                   FRIDAY ONLY                                       SATURDAY ONLY

MEMBER $100.00____                                MEMBER  $50.00___                              MEMBER    $50.00 ___

NON-MEMBER $120.00___                          NON-MEMBER $60.00___                        NON-MEMBER  $60.00 ___

STUDENT MEMBER $50.00 ____                  STUDENT MEMBER  $25.00___                 STUDENT MEMBER $25.00 ___

STUDENT NON-MEMBER $60.00 ____           STUDENT NON-MEMBER  $30.00 ___        STUDENT NON-MEMBER $30.00 _



REGISTRATION DEADLINE: APRIL 14, 2017

Please print registration and send check and registration to Sandra Laws 344 Dunbar Road Chuckey, TN 37641-2311

Make checks payable to Northeast Chapter of Medical Assistants

MOTEL RESERVATION DEADLINE:  APRIL 14, 2017 Please mention TSMA Conference to get room rate.

MOTEL INFORMATION: Hampton Inn 2000

                                 Enterprise Place Kingsport, Tn

                                 (423) 247-3888

                                 Exit 4(Wilcox Drive) off I 26-

                                 When traveling on I 81 take exit 57B toward Kingsport-near Hardee’s and Wendy’s

Rooms $99 (2 queen beds) if prefer King bed let them know at time of reservation.  There will a block of 10- 2 queen bed rooms and 5-king bed rooms (will check to see if this is at the same rate at room with queen beds).

When making reservations please mention TSMA Conference to get room rate and so we can keep running total of attendees for food preparations.

Lunch provided both days.