OREGON ASSOCIATION OF ORTHOPAEDIC EXECUTIVES

 

 SPRING 2009 CONFERENCE

 

REGISTRATION FORM

 

Name               ________________________________________________________________

 

Clinic                ________________________________________________________________

 

Title                  ________________________________________________________________

 

Address           ________________________________________________________________

 

City/State/Zip   ________________________________________________________________

 

Phone               ________________________________________________________________

 

E-Mail              ________________________________________________________________

 

 

Registration Fees:   (circle appropriate fee for each attendee)

 

$150.00    OAOE Members, (Paid 2009 OAOE Members) Thursday and Friday

 

$200.00    Administrators / Managers who are not OAOE Members (Number of Attendees: ________)

 

 $75.00     All Other Professional Staff ­­­­­­­­­­­­­­­­­­­­­­(Number of attendees: _______ )           

 

Please submit this form & fee to :    Tona Springer – Secretary-Treasurer

C/o Cascade Orthopedics & Sports Medicine Center, PC

1715 E. 12^th Street

The Dalles, OR 97058

Questions: Please call 541-296-2294 or E-Mail tonas@cosmc.org

Heathman Hotel

1001 SW Broadway at Salmon, Portland, OR 97205
Reservations: 800-551-0011  Fax: 503-790-7110
Email: info@heathmanhotel.com

**  Mention  that you are a OAOE Spring 2009 Conference Attendee for the following group rates **

 

add 12.5% occupancy tax to the above rate

 

CONFERENCE REGISTRATION MUST BE RECEIVED BY March 25, 2009