Online Registration Form

   
THE 8TH ANNUAL MICHIGAN MEDICARE UPDATE
FOR OPTOMETRISTS AND STAFF

––– APPROVED FOR 6 HOURS CONTINUING EDUCATION CREDIT –––
Wednesday, April 29th, 2009 • 9:00 AM–NOON • 1:30–4:30 PM
Holiday Inn–South/Convention Center • Lansing, MI
 
       
Names(*)   Morning Session Afternoon Session
    Morning Session Afternoon Session
    Morning Session Afternoon Session
    Morning Session Afternoon Session
    Morning Session Afternoon Session
 
Office Name  
Office Address 1(*)  
Office Address 2  
City(*)  
State(*)  
Zip Code(*)  
Office Phone(*)  
Fax  
E-mail(*)  
Order Number  
     
Amount $  
       
 
       
  Amount after Discount    $                       You Save  $
  (Including Discount to attend both sessions )
       
Click here to see full fee schedule
       
           Final Amount           $                       You Save  $
  (Including Earlybird $5.00 discount per person through March 20 and late registration of $15 per person after April 22)
       
SECURE
Detailed directions to the Holiday Inn–South/Convention Center
will be enclosed with your registration confirmation letter.
QUESTIONS? Call 1-800-633-0055 or 614-262-2539, or e-mail: anadem@anadem.com