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PADA Annual Meeting Online Registration
Pittsburgh Marriot North, Cranberry Twp., PA April 25-27, 2010
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:
Contact Info: Mailing Address:
First Name: Address 1:
Last Name: Address 2:
Suffix: City:
Title: State:
Company/
Organization:		 Zip
Email: Day Phone Ext:
  Homephone
Step #2 Registration Options
ADA
Member		 Non
Member		 Student*
One Day $175 $210 $75
Two Days $235 $275 $90
If attending only one Day: Please indicate day: Monday   Tuesday
Please indicate need for vegetarian lunch: Monday   Tuesday
Either day fee waived: Yes
Reason:
April 25, 2010 Sunday Pre-Conference Workshop Registration:
1:00-5:00 PM (4 CEU's) Snack included
'Motivational Interviewing & Coaching: Helping Patients to Succeed' with Eileen Stellefson Myers, MPH, RD, LDN, FADA & Julie F. Schwarz, MS, RD, CSSD, LD, ACSM-HFS
*'Co-Sponsored by the Weight Management Dietetics Practice Group*
Please check if attending:
$80.00 PADA Member $90.00 Non-members $40.00 Students
6:00-8:00 PM (2 CEU's) Cocktail hour included
How to Individualize MTN for Your Renal Patients with Linda Bridges, RD, LDN
*Co-Sponsored by the Pennsylvania Dietitians in Health Care Communities DPG*
Please check if attending:
$35.00 PADA Member   $45.00 Non-members
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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