CME

Step 1 – Attendees

Step 2 – Confirmation

Step 3 – Payment

21st Annual Southwestern Conference on Medicine

April 26, 2012 - April 29, 2012

Registration Rates:

Active Physicians: $595.00
Retired Physicians: $495.00
NPs or PAs: $495.00
Residents or Fellows: $50.00

Attendee Information

First Name*
Middle Initial
Last Name*
Name for Badge
Address*
City*
State or Province*
Zip or Postal Code*
Day Phone*
Evening Phone
email*
Note: The above address may be published in the Conference Syllabus
Professional Degree*
DO MD NP PA Student
OTHER
Additional Degrees, Credentials and Designations
Status*
Active Physicians Retired Physicians NPs or PAs Residents or Fellows
Specialty*
AOA Number
Special Needs

Attendee Options

Please select the meals you plan to attend. Yes No Thursday Breakfast
Yes No Thursday Luncheon
Yes No Friday Breakfast
Yes No Friday Luncheon with Exhibitors
Yes No Friday Reception
Yes No Friday Reception Guest (1)
Yes No Saturday Breakfast
Yes No Sunday Breakfast
Yes No Vegetarian Meals

Please select the bonus workshops you would like to attend.
Yes No Medical Legal Case Studies Workshop - 2 hours - 4/28/12 - 1:30pm - 3:30pm
Yes No OMT Workshop - 2 hours - 4/28/12 - 3:30pm - 5:30pm
Yes No Survival Spanish for Healthcare Professionals - 4 hours - 4/28/11 - 1:30pm - 5:30pm

Please note, after clicking "Add Attendee" you must click "Confirm" and enter your payment information in order to be registered for the conference. If you have any questions, please call the foundation at (520) 299-4545 or e-mail cme@tomf.org.