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Upcoming Events

Event 

Title:
TSMA Annual Conference May 2010 Registration Form
When:
05.14.2010 - 05.16.2010 
Category:
TNSMA Events

Description

TSMA – 54th ANNUAL STATE CONFERENCE

 

MAY 14 – 16, 2010Cleveland State Community College (“C” bldg.)

 

SPONSORED BY THE CHEROKEE CHAPTER

 REGISTRATION 

Name_________________________________________________________________________

 

Address_______________________________________________________________________

 

City_________________________________            State_________          Zip_______________

 

Home Phone (     )______________________            Cell Phone (     )______________________

 

AAMA Member #______________________

 

SSN__________________________________

 

Chapter Affliliation______________________________________________________________

 

Please select one (1):

            AAMA member

                        __________    $90      Both days of CEUs & 3 meals

                        __________    $30      Friday CEUs only & 1 meal

                        __________    $60      Saturday CEUs only & 2 meals

 

            Non-member

                        __________    $120    Both days of CEUs & 3 meals

                        __________    $40      Friday CEUs only & 1 meal

                        __________    $80      Saturday CEUs only & 2 meals

 

            Student Member

                        __________    $70      Both days of CEUs & 3 meals

                        __________    $25      Friday CEUs only & 1 meal

                        __________    $45      Saturday CEUs only & 2 meals

 

            Student Non-member

                        __________    $75      Both days of CEUs & 3 meals

                        __________    $30      Friday CEUs only & 1 meal

                        __________    $50      Saturday CEUs only & 2 meals

 

  Make checks payable to:  Cherokee Chapter of Certified Medical Assistants

 

  Please mail this registration along with payment by May 1, 2010 deadline to: 

 

 

            Ashley Toomey

            2213 Brentwood Dr. NW

            Cleveland, TN  37311                 Email This e-mail address is being protected from spambots. You need JavaScript enabled to view it

 

 No registrations will be accepted after May 1, 2010, due to food catering guidelines.  Payment must accompany registration form.  Thank you.