The American Academy of Urgent Care Medicine
 
 
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2008 Conference Attendee Registration
Name :
Clinic :
Address :
City :
State :
Zip :
Phone :
Email :
Specify how you would like your name to appear on your name tag :
Conference Registration Includes:
• All CME Activities • Breakout Sessions • Access to Exhibitor Hall
• Opening Reception • Continental Breakfasts • Refreshment Breaks
• Copy of On-Site Conference Book
Companions are welcome to attendee the Welcome Reception with the attendee for an additional charge of $50 per guest
Conference Price: $650
Welcome Reception Guests : $50/guest (Number of guests) x $50  =
Total : $  
Opt Out Options :
I do not wish to receive promotional postal mailings from exhibitors before or after the conference.
I do not wish to have my contact information included on the attendee list which is sent to attendees after the conference.

The AAUCM would like to offer BCLS training certification at the 2008 conference, depending on interest expressed by attendees. The BCLS training will be an additional fee. Price will be determined by the number of attendees interested in participating in the training. We will notify you by email prior to the conference if the training will indeed be offered and the cost.

Are you interested in taking the BCLS training certification at the conference:
 Yes      No
Conference Cancellation/Refund Policy: To receive a refund (minus $50 processing fee), cancellations must be received by the AAUCM in writing no later than April 30, 2008. Cancellations received between May 1, 2008 and May 15, 2008 will receive a 50% refund. Cancellations received after May 15, 2008 will not be refunded.
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