TSMA ANNUAL CONFERENCE

MAY 17-19, 2012

JOHNSON CITY, TENNESSEE

REGISTRATION FORM

 

NAME­­­­­­­­­­­­­­­­­­­­_________________________________PHONE NUMBER_______________

LOCAL CHAPTER_______________________EMAIL ADDRESS________________

MAILING ADDRESS_____________________________________________________

 

_______________AAMA MEMBERS $100.00

(Includes educational sessions, luncheon and banquet)

 

______________ Non members $120.00

(Includes educational sessions, luncheon and banquet)

 

______________ AAMA STUDENT MEMBER $50.00

(Includes educational sessions, luncheon, and banquet)

 

_______________Non Student Member $60.00

(Includes educational sessions, luncheon and banquet)

 

_______________Friday Only $75.00

(Includes educational sessions, luncheon)

 

_______________ Saturday only $40.00

(Includes educational sessions)

 

REGISTERATIONS AND PAYMENT MUST BE MADE BY MAY 1, 2012.

 

BRING CHANGE FOR JEWERY GIVE-WAY TO HELP SPONSER

CHARLES S. GRESHAM SCHLORSHIP.

 

HOTEL RESERVATIONS DEADLINE IS 4-26-12. Call Holiday Inn

At 423-282-4611 and mention TSMA

SEND CHECKS PAYABLE TO NORTHEAST TN MEDICAL ASSISTANTS

 

Sandra Laws, CMA(AAMA) Rita Neeley, CMA(AAMA)

344 Dunbar Road 4048 Ridge Road

Chuckey, TN 37641 Kingsport, TN 37760