nhsma

Medical Assistants at the heart of health care

2019 Spring Conference Early Bird Pricing

Executive Court Banquet Facility


1199 Mammoth  Road


Manchester, NH


April 5 and 6, 2019


8:00 AM to 5:00 PM   Registration 7:30 AM


Meet your rep on Friday night with appetizers and soft drinks

One form per person. Must pre-register to attend.  Registrations will not be taken at the door.

Name:    _____________________________________________________________________

Credential:  ______________________________

Member: yes ______   ID# _________________________(needed for member bonus!!!)

Non-member: ______  Last 4 digits of SS# (for tracking purposes): ________________________

Address: _____________________________________________________________________

               _____________________________________________________________________

               Town: __________________________  State: _________________ Zip: __________

E-Mail: ______________________________________________________________________

Phone Number you can be reached at on short notice: ___________________________________


Please CIRCLE which days you wish to attend.


Early Bird Registration must be post marked on or before February 22, 2019- Now Extended to March 8, 2019

Friday only:    $80             Saturday only:     $80                Both Days: $ 150   


Registration no later than March 20, 2019

Friday only:    $ 110       Saturday only:  $ 110                Both Days:   $ 185


MEDICAL ASSISTANT STUDENTS**:

Friday only:    $ 20           Saturday only:    $ 20                 Both Days: $ 40


I would like to attend "Meet Our National Rep", Lisa Lee, CMA (AAMA), Immediate Past President, AAMA, on Friday night following the conference.  Location to be determined.  Lots of appetizers and soft drinks will be provided at no charge.  Please come and meet your Board Members and our National Rep in an informal, relaxed and fun get together!

Yes, I will be there! ______             Sorry, I can't make it._______


*!* Please refer to the Spring Conference opening page for information on $10 Member Bonus *!*


** A Medical Assistant Student is defined as a student currently enrolled in a Medical Assistant Program.  If you are a student of another discipline, you do not qualify for the discount.  If you hold a current CMA (AAMA) or RMA (through the AMT) you are not eligible for the student discount.

  

Do you have any dietary restrictions? Please explain:  ________________________________

___________________________________________________________________________

Dietary Restrictions cannot be accommodated unless notified by March 20, 2019

i******************************Absolutely NO refunds**********************************

Please copy and paste registration into Word.  Fill out form and send with check or invoice number to:

Dawn Broad

5 Reuben's Driftway

Hampton, NH 03842

_____ I am paying by personal check or certified check.   Make checks payable to NHSMA. Please enclose copy of registration with check.

_____ I am paying by PayPal.  Invoice #: ____________. Please be sure to send this registration with your invoice number by mail to the above address or by e-mail to Treasure@NHSMA.org  Please note your registration IS NOT complete unless this registration form is received by the NHSMA.  PayPal does not provide the necessary information to complete your registration. 


PayPal can be found on the HOME page in the upper LEFT hand corner and at the top of this page.


*****Please be informed that any returned checks will be subject to a $40.00 Fee *****


Presentation topics can to be found on the AGENDA page. Both topics and times are subject to change without notice. Check back frequently for up-dates.  

The menu is posted under the MENU page.

Overnight accommodation information can be found on the OVERNIGHT ACCOMADATION page


We look forward to seeing you there!!!


** Photos will be taken at this event and may be posted to our website or on our Facebook page.  No names will be posted without consent.  Your registration is considered consent to have your photo posted.