The 2010 Annual Dinner Meeting
 May 26th 2010

 Enter any questions or comments you have about our up coming event

                          Please fill out the information below to register:

Name
Paid member  Individual Practice  Group Practice  Fellow/Resident                    Program Director / Division Chief   Non-Member  Joining as Member
Hospital Affiliation / Department
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Phone
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# Attending

Tuition:  

2010 paid NYSSMOH member:   Fellows/Residents:    Program Director/Division Chief:    2010 non-paid NYSSMOH Member:    Non-Member:	No Charge No Charge No Charge $150 $175
Meeting fee and/or dues can be paid on line via Paypal  at www.nyssmoh.org Membership dues are $150. The non-member fee can be applied to 2010 membership. please go to www.nyssmoh.org to apply for membership or call 845-986-3295
Not a Member?  Join NYSSMOH