TSMA FALL EDUCATIONAL SEMINAR
HOSTED BY THE NASHVILLE CHAPTER OF MEDICAL ASSISTANTS
OCTOBER 12, 2013

FAIRFIELD INN & SUITES175 CHAFFIN PLACEMURFRESSBORO, TN 371291-615-849-1150

REGISTRATION FORM

NAME _______________________________________________________________ADDRESS ___________________________________________________________CITY _________________________ STATE __________________ ZIP ___________CHAPTER ___________________________________________________________DAYTIME PHONE __________________________ EVENING PHONE ____________EMAIL ______________________________________________________________MEMBER _____________ NON-MEMBER _________________REGISTRATION FEE INCLUDES: CEU’S APPROVED BY AAMA & LUNCH. AAMA MEMBER $40.00NON-MEMBER $60.00STUDENT MEMBER $25.00NON-STUDENT MEMBER $30.00MAKE CHECKS PAYABLE & MAIL TO: NASHVILEE CHAPTER OF MEDICAL ASSISTANTS (CCMA) C/O ROBERTA CAMPBELL 2300 WEBER COURT LA VERGNE, TN 37086 RKCampbell@tds.netFOR QUESTIONS CONTACT: TSMA FALL EDUCATIONAL SEMINAR CHAIR ROBERTA CAMPBELL, CMA(AAMA) RKCampbell@tds.net