Cardiac Care Associate Symposium 2010

Registration Form

Friday, June 11, 2010
7:45am - 3:45pm
New York Athletic Club
180 Central Park South
New York City

Your compliance with the New York Athletic Club’s dress code is required.

Dress Code: Inappropriate attire includes: jeans and other denim wear, shorts, t-shirts and athletic wear, halter tops and leggings.

Required: Business casual attire, with jacket, for men Comparable attire for women.


E-Mail
Name
Address
City
State
ZIP
Telephone

The following information is collected for our reference. Payment information will be presented on the next screen after completing this form and clicking Register. You have the option to pay by check or credit card (via PayPal).

QtyAmount
 NYSCACC Member: $75.00$
 Non-Member: $100.00$
 Walk-in: $125.00$
Total $


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