ATM Conference 2008 Registration

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Online Registration

Conference Brochure: Front Side | Back Side

First: Tell Us About Yourself

Your full name: Your e-mail address:

Your Address: Your City:

Your State: Your Zip:

Your Phone Number:

Comments or questions?

Second: Choose Your Conference Experience

Pre-Conference (Workshops do not overlap)
All Pre-Conference Workshops have been filled - 4/17/2008

     NNR | $25.00

     CPR | $25.00

     Suturing | $25.00

2 Day Conference

      Student | $225.00 x

      ATM Member | $250.00 x

      Non-Member | $275.00 x

1 Day Conference

      Friday Only | $150.00 x

      Saturday Only | $150.00 x

Extras (Must register by April 10th for T-Shirt and by April 25th for Banquet)

      Conference T-Shirt | $15.00 x

      Banquet - ATM Mebmber | $15.00 x

      Banquet - Guest | $35.00 x

Total Cost: $

Third: Verify Your Selections

Once you click submit, your registration information will be sent to the ATM office via email, atmoffice@texasmidwives.com, and you will be redirected to PayPal to complete payment.

IMPORTANT NOTE: If you are paying in some manner other than PayPal, please leave very detailed information in the comment box above, or contact the office before completing this form.

If you have any other comments regarding the registration form, you may use the comment box at the top of this page.

Fourth: Send It And Pay With PayPal!

Email It To Us	"Snail-Mail" It To Us
	Mail check and this form to: ATM Re: Conference 2008 Registration P.O. Box 52187 Midland, TX 79710

Page Last Updated: March 14, 2008