Click here to print the Fall 2010 OAOE Conference Registration: Registration form 5Nov10.pdf

OREGON ASSOCIATION OF ORTHOPAEDIC EXECUTIVES

 FALL CONFERENCE

November 5-6, 2010

REGISTRATION FORM

Name   ________________________________________________­­­­­­­­­­­­­­­­­_____________________

Clinic   _____________________________________________________________________

Title     _____________________________________________________________________

Address____________________________________________________________________

City/State/Zip _______________________________________________________________

Phone Number_______________________________________________________________

E-Mail _____________________________________________________________________

2010 Oregon OAOE Membership   ( per calendar year - $150 per Admin/Manager; $75 per Ancillary staff person)

You may include appropriate “membership fee” with conference registration if not previously sent.

Fall Conference Registration Fees:   (circle appropriate fee for each attendee)

$150.00    OAOE Members, (Paid 2010 OAOE Members)

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

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

OAOE Members who participated in the Cost/Salary surveys will receive copies at No Charge; other OAOE Members $100

Number of copies of the Cost/Salary surveys for all non-Members at $200 each ­_________

Friday Evening: Rogue Brewery Dinner and Tour;  Yes____    No____     Number of Attendees_____  (cost $30 per person).

                          (transportation provided)                                                                  (please pay with registration)

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

C/o Cascade Orthopedics & Sports Medicine Center, PC

                                                                                  1715 E. 12th Street

                                                                                  The Dalles, OR 97058

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

MEETING LOCATION

Salishan Spa & Golf Resort        7760 Highway 101        North Gleneden Beach, OR 97388

Reservations: 1-800-452-2300

Room Block Reserved Under “OAO/OAOE”

Attendee Group Room Rates are:   Traditional - $136,   Deluxe - $165,   Premier - $205

REGISTRATION MUST BE RECEIVED BY October 25, 2010

Will you consider a Board position with OAOE?  ____Yes  ____No

Do you know an Administrator or Manager to nominate for an OAOE Board Position?

Name:____________________________________________________________________

 
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