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Session: Price: Wednesday, May 14 ____ Member $25.00 ____ Non-Member $50.00 ____ Student member $10.00 Thursday, May 15 ____ Member $25.00 ____ Non-Member $50.00 ____ Student $10.00 Full Registration ____ Member $50.00 ____ Non-Member $100.00 ____ Student $20.00
Session: Price:
Wednesday, May 14
____ Member $25.00
____ Non-Member $50.00
____ Student member $10.00
Thursday, May 15
____ Student $10.00
Full Registration
____ Member $50.00
____ Non-Member $100.00
____ Student $20.00
Registration Deadline 5/25/2004 $10.00 late fee after deadline
Name: Address: Phone or fax: Method of payment: ____ Check enclosed ____ On-site payment ASCLS member number: Mail completed registration form and payment to: Susan Radley, ASCLS-AND P.O. Box 9413 Scottsdale, AZ 85252 CIRCLE THE SESSIONS YOU WISH TO ATTEND A, B, C, D ,E ,F ,G ,H, J, K, M, N, P, R, S,
Name:
Address:
Phone or fax:
Method of payment:
____ Check enclosed
____ On-site payment
ASCLS member number: Mail completed registration form and payment to: Susan Radley, ASCLS-AND P.O. Box 9413 Scottsdale, AZ 85252 CIRCLE THE SESSIONS YOU WISH TO ATTEND A, B, C, D ,E ,F ,G ,H, J, K, M, N, P, R, S,
ASCLS member number:
Mail completed registration form and payment to:
Susan Radley, ASCLS-AND P.O. Box 9413 Scottsdale, AZ 85252
CIRCLE THE SESSIONS YOU WISH TO ATTEND A, B, C, D ,E ,F ,G ,H, J, K, M, N, P, R, S,
ASCLS-AND Member Meeting: Price
Tuesday June 1, 2004 Member: Free Nonmember $10.00 5:00 pm I plan to Attend __Yes __No