Michigan Association of Osteopathic Family Physicians

MAOFP Summer Family Medicine Update
August 4-7, 2011
Grand Traverse Resort, Acme, MI
Conference pre-registration deadline, August 1, 2011.

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 MBudd@mi-osteopathic.org.

To download a brochure, click here.

* Required Fields

AOA Number:

* Name:

* Address:

* City:

* State:

* Zip:

* Phone:

Fax:

* Email:

Registration Fee after August 1, 2011:

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.

Friday, August 5 2011

Lunch
Complimentary lunch for attendees only
Yes No

Wine Tour/Tasting Old Mission Peninsula
Friday, August 5, 2011
1:00 – 5:30 p.m. Cost is $58. Limited to 30. Please pre-register & pay with Noreen Shafer at the Grand Traverse Resort at 231-534-6206 or nshafer@gtresort.com.

President's Reception & Banquet Ceremony
In honor of Jeffery Stevens, D.O.
Sponsored by MSUCOM & MAOFP
6:00-9:00 p.m.
Free Event. Registered attendees/guests only.

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

Saturday, August 6, 2011

3K Fun Run/Walk
7:00-8:00 a.m.
# of Adults
# of Children
Free event. Registered attendees/guests only.

Lunch
Complimentary lunch for attendees only
Yes No

Orthopaedic Office Procedures Clinic
2:00 - 4:00 p.m.
Yes, please register me for this workshop. $20 per attendee.

Tall Ship Cruise
Saturday, August 6, 5:30 – 9:15 p.m.
Cost is $58/Adult $39.50/Child. Limited to 30. Please pre-register & pay with Noreen Shafer at the GrandTraverse Resort at 231-534-6206 or nshafer@gtresort.com.

Total:

Refund Policy: No Refunds after August 1, 2011. A $50 processing fee will be assessed to all refunds prior to August 1, 2011.

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