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AKOTA Fall Conference Registration

How Does Your Engine Run? â

The Alert Program Ô for Self-Regulation

September 22-23, 2007

  Alyeska Resort, Girdwood, Alaska

Fees:
AKOTA member: $350
Non-AKOTA member: $400
AKOTA COTA member: $300
Non-AKOTA COTA member: $350
Students: $250
All other Participants: $400
 
*First Name:  
Middle Initial:
*Last Name:  
AK License #:
*Address Line 1:  
Address Line 2:
*City:  
*State:  
*Zip:  
*Home/Cell Phone:  
Profession/Employer:
*Email:  

PAYMENT DETAILS
Conference Fee:  
Payment Method:   Check to be mailed
  Pay by Credit Card 

                                        

Mail Payment to:

Alaska Occupational Therapy Association
3705 Arctic Blvd PMB 1616
Anchorage, AK 99503
 
For questions about the conference, contact Winnie Hill at (907) 696-4266 or e-mail mwhill@gci.net

 

 

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