Calendars / Meetings

Calendars / Meetings

Regional Family Medicine Conference, Sept. 27th, 2008

Register by Mail:
Click here to download the Registration Form (Mailing Address below)

Brochure & Schedule:
Click here to download the brochure, and the schedule.

Sponsorship Opportunities:
Click here to download the sponsorship form


Register Online:
Register and submit payment using form below

Registration Form
First name:
Last name:
Address:
City:
State:
Zip Code:
Phone:    (example format: 555-555-5555)
Fax:    (optional)
Email:    (please provide valid email for your receipt)

Fees By 8/15 By 8/31 After 9/1
Physicians $50.00 $60.00 $75.00
Non-Physician Health Care Professionals $45.00 $55.00 $65.00
Residents and Students $25.00 $30.00 $35.00
NYSAFP Life Member $25.00 $25.00 $25.00

I will be registering as...

Registration fee includes continental breakfast, lunch & reception.

Do you want a printed copy of the course syllabus or a disk copy?
Printed    Disk

Cancellation Policy: full refund if cancellation is received before Sept. 15, 2008.

Payment:
Please complete and return with payment to:
NYSAFP
260 Osborne Road; Albany, NY 12211
Fax: 518-489-8961
Email: pat@nysafp.org