Registration for Workshops
Please use the link below to register for:
2010 OCTOBER ANNUAL WORKSHOP and BUSINESS MEETING
Title: Cutting Edge Surgery
BROWN MACKIE COLLEGE
13430 N Black Canyon Highway
Phoenix AZ 85029
PRINT, FILL OUT AND MAIL IN the registration form below if you are paying by check:
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“CUTTING EDGE ARIZONA” 6 CEU’S PENDING
OCTOBER 9, 2010
REGISTRATION 7:30 A.M. WORKSHOP 8:00 A.M.- 3:00 P.M. BUSINESS MEETING 3:00 P.M.- 4:00 P.M.
AST MEMBERS: $65.00/ STUDENTS: $25.00 /RN, NON-MEMBERS, SAME DAY REGISTRATION: $75.00
LUNCH IS PROVIDED.
ANNUAL BUSINESS MEETING AND ELECTIONS TO FOLLOW WORKSHOP
LOCATION: BROWN MACKIE COLLEGE 13430 N BLACK CANYON HIGHWAY PHOENIX AZ 85029
NAME:_______________________________________________
ADDRESS: ____________________________________________
_____________________________________________________
EMAIL ADDRESS: _______________________________________
AST MEMBER # ________________________________________
CFA MEMBER # ________________________________________
CST ( ) CFA ( ) RN ( ) PA ( ) LPN ( ) ST-C ( ) CSA ( ) NON MEMBER ( )
AMOUNT ENCLOSED: _______________ CHECK OR MONEY ORDER
PLEASE Mail to : AZSA PO BOX 26681 Tucson AZ 85726-6681
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OR please make your secure purchase through Paypal below:
AST MEMBERS FEE : $65.00
STUDENTS: $25.00
RN, non-member : $ 75.00
Same Day Registration : $75.00