Requirements for credit: Attend/participate in the educational activity and review all course materials. Complete the CE Declaration form online by 11:59 pm ET, April 28, 2017. Instructions will be provided. If you do not enter the online portal by the above date, you will not be able to retrieve your statement of participation. Upon successful completion of the online form, your statement of completion will be presented to you to print. Registration: The registration fee for this one day education opportunity is $75.00 per person (SDAHO Members) and $150 per person (non member). Advance registration is encouraged. Cancellation must be made one week prior to this event to receive a refund of registration fees paid. Please contact Rhonda Christensen at 605/361-2281 or for registration and/or further information by March 24, 2017. Electronic registration for this and other upcoming educational opportunities is also available at the SDAHO website, . The CoP’s Are Here: Are You Prepared Cedar Shore Resort 1500 Shore Line Drive Oacoma/Chamberlain, South Dakota Tuesday, 28, 2017 9:00 a.m. 2:00 p.m. (CST) – The educational activity is jointly provided by AXIS Medical Education and SDAHO. Registration Form (Photocopies may be used) Registration Fees: SDAHO Members $75.00 per person Non-Member $150.00 per person Payment must accompany registration form. Please Print Attendee #1 Name: E-mail Address: Title: Institution: Address: City: State: Zip: Direct #: Attendee #2 Name: E-mail Address: Attendee #3 Name: E-mail Address: Attendee #4 Name: E-mail Address: Attendee #5 Name: E-mail Address: Enclosed is my check payable to SDAHO in the amount of $ . Mail form and check to: SDAHO Attn: Rhonda Christensen 3708 W. Brooks Place
Requirements for credit: Attend/participate in the educational activity and review all course materials. Complete the CE Declaration form online by 11:59 pm ET, April 28, 2017. Instructions will be provided. If you do not enter the online portal by the above date, you will not be able to retrieve your statement of participation. Upon successful completion of the online form, your statement of completion will be presented to you to print. Registration: The registration fee for this one day education opportunity is $75.00 per person (SDAHO Members) and $150 per person (non member). Advance registration is encouraged. Cancellation must be made one week prior to this event to receive a refund of registration fees paid. Please contact Rhonda Christensen at 605/361-2281 or for registration and/or further information by March 24, 2017. Electronic registration for this and other upcoming educational opportunities is also available at the SDAHO website, . The CoP’s Are Here: Are You Prepared Cedar Shore Resort 1500 Shore Line Drive Oacoma/Chamberlain, South Dakota Tuesday, 28, 2017 9:00 a.m. – 2:00 p.m. (CST) The educational activity is jointly provided by AXIS Medical Education and SDAHO. Registration Form (Photocopies may be used) Registration Fees: SDAHO Members $75.00 per person Non-Member $150.00 per person Payment must accompany registration form. Please Print Attendee #1 Name: E-mail Address: Title: Institution: Address: City: State: Zip: Direct #: Attendee #2 Name: E-mail Address: Attendee #3 Name: E-mail Address: Attendee #4 Name: E-mail Address: Attendee #5 Name: E-mail Address: Enclosed is my check payable to SDAHO in the amount of $ . Mail form and check to: SDAHO Attn: Rhonda Christensen 3708 W. Brooks Place