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PADA Annual Meeting Online Registration
Crown Plaza Valley Forge, King of Prussia, PA April 14-15, 2011
Instructions:

Step #1- enter your ADA number and validate
If information is not correct, please edit below. The source of this demographic information is the ADA database- to permanently make changes to this information, please contact ADA's member services.

Step #2 Select Registration Options

Step #3-Contribute to optional donations

Step #4- Did you select the student rate?, if so please fill in information
Step #1 ADA Member Number:
You MUST validate your number
Contact Info: Mailing Address:
Attendee First Name: Address 1:
Attendee Last Name: Address 2:
Suffix: City:
Title: State:
Company/
Organization:		 Zip
Email: Day Phone Ext:
  Homephone
Step #2 Registration Options
Early Bird Registration (by March 20) rates increase after March 20
ADA
Member		 Non
Member		 Student*
Friday (MUST choose one) $185 $230 $75
Please indicate need for vegetarian boxed lunch on Friday (chicken entree): Yes  
Please indicate need for non-vegetarian dinner (chicken entree): Yes  
Either day fee waived: Yes
Reason: Speaker
Awardee
AME Committee
April 14, 2011 Thursday Pre-Conference Workshop Registration:
1:00-4:00 PM (3 CEU's)
Autism and Feeding Problems - How Dietitians Can Help Children with Autism Expand Their Diets
Presented by Elizabeth Strickland MS, RD, LD
Please check if attending:
$50.00 PADA Member $75.00 Non-members $15.00 Students
6:00-8:00 PM (2 CEU's)
RD Reimbursement - Strategies for Success
Presented by Catherine D'Orazio MS, RD, CSSD, LDN
Please check if attending:
$30.00 PADA Member   $50.00 Non-members   $15.00 Students
Step #3 Donation Options
PADA Foundation Contribution
Please indicate which PADAF scholoraship you wish to donate to:
General  Eichelberger  Parks
PADA PAC Contribution
Step #4 Required if Student
School/Internship: Director/Contact:
 

PADA
96 Northwoods Blvd.
Ste. B2
Columbus, Ohio 43235
Phone: 614-436-6136
Fax: 614-436-6181

 

 

 

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