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Yes,
I want to attend the KCMSMA
Meeting Wednesday, oct, 1st, 2008!
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Where:
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When:
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Cost:
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Union Station Town Hall Room 30
W.Pershing Rd
Kansas City, MO 64131 |
Wednsday Oct 1st 2008 |
$25.00 for MSMA
members
$35 For non-members
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Simply
fill out this form and print it using the print button at the
bottom and mail it in with your check or money order, or you
may submit it electronically and we will bill you directly through
the mail.
Please
complete the KC MSMA Registration Form below and send
to:
Diane Chastain
AAFP
11400 Tomahawk Creek Parkway
Leawood, KS 66211-2680
Fax Number 913 906-6388
Make
check payable to Kansas City KCMSMA.
OR
Fill the
form below & make payment useing PayPal with any major credit
card.
Registration Form must be received by Friday Sept 26th
2008.
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