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Workshop Registration

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Practice Advancement Workshop Registration

Westport, MA — December 7, 2006


Practice Name

Attendee(s)

Registration fee is $398 ($99 for the Physician's Compensation and Future of Pediatrics workshops, or $299 for just the Coding for Physicians workshop).

Be sure to chose your dinner if attending the Coding for Physicians workshop. The choices are chicken breast stuffed with wild rice or grilled Atlantic salmon. Dinners will be accompanied by a garden salad, roasted red potatoes, and green beans almondine. If you have dietary requirements that are not met by either of these options, please choose "Special Diet" and provide details in the space provided below.

Name
If you are attending the coding workshop, please select your meal:

Name
If you are attending the coding workshop, please select your meal:

Name
If you are attending the coding workshop, please select your meal:

Name
If you are attending the coding workshop, please select your meal:

Name
If you are attending the coding workshop, please select your meal:

Special Dietary Needs:



Payment

Registration fee is $398 ($99 for the Physician's Compensation and Future of Pediatrics workshops, or $299 for just the Coding for Physicians workshop). You will be invoiced by PCC.


Contact Name
Phone Number
Email Address
Fax
Address
City State Zip


'Fall 2006 Practice Advancement Workshops

www.pcc.com • Physician's Computer Co. • 1 Main St., Winooski, VT 05404 • 800.722.7708

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