Roundup Registration

October 5-7, 2012

Chico Hot Springs
Pray, Montana

Target Audience:

Pediatricians, NPs, RNs, APRNs, Physician Assistants, and all other allied health care professionals and office staff involved with the treatment of pediatric patients.

Conference Information

PLEASE REGISTER ON THE FORM BELOW:

First Name:
Last Name:
Title:
(MD, C-PNP, PA, RN,...)
FAAP:
Address:
City:
State:
Zip:
Phone:
Email:
   
Registration Fee - (includes CME Certificate)
 
Friday Fellowship Lunch - $5.00
 
Adults - $30.00 each person
One adult Two adults Three Adults Four Adults
Family - $75.00 each family
One Family Two Families
 
Total Conference cost >   
 
  

Questions?? Contact Molly Taylor 406-581-6441, or mollytaylormtaap@gmail.com