Michigan Association of Osteopathic Family Physicians

MAOFP Summer Family Medicine Update
August 5-8, 2010
Crystal Mountain Resort, Thompsonville, MI
Conference pre-registration deadline, August 2, 2010.

Thank you for supporting the Michigan Association of Osteopathic Family Physicians. To register for our conference, please complete and submit the following secure online payment form. For questions, contact us at (800) 657-1556 or scarson@mi-osteopathic.org.

To download a brochure, click here.

* Required Fields

AOA Number:

* Name:

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Registration Fee after August 2, 2010:

Membership Renewal Information:

Not sure if your dues are current? Call (800) 657-1556 to verify.

Please add me to your email distribution list to receive MAOFP information.

In honor of
Steven Dupuis, D.O.
Friday, August 6, 2010
7:00-9:00 p.m.

Entertainment by the Three Divas - At the Lodge Deck & Pavilion
Everyone Welcome - Sponsored by MSUCOM & MAOFP

Yes, I will be attending the Banquet
# of Adults attending
# of Children ages 3-6 attending
# of Children ages 7-12 attending
No, I will not be attending the Banquet

3K Fun Run/Walk
Saturday, August 7, 2010, from 7-8:00 a.m.
FREE for children and adults but you must register in advance.
Contact Sara Carson at 800-657-1556

Golf Scramble
Saturday, August 7, 2010, starting at 3:00 p.m.
Contact Kim Camp at MSUCOM at 517-432-4979
Cost $79 per person includes 18 holes/cart

Total:

Refund Policy: No Refunds after August 2, 2010. A $50 processing fee will be assessed to all refunds prior to August 2, 2010.

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2445 Woodlake Circle, Okemos, MI 48864 \| Phone: 800-657-1556 \| Fax: 517-347-1566 \| Email: maofp@mi-osteopathic.org