Winter Refresher Course for Family Medicine - Medical College of ...
Winter Refresher Course for Family Medicine - Medical College of ...
Winter Refresher Course for Family Medicine - Medical College of ...
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ACCOMMODATIONSA block <strong>of</strong> rooms will be reserved <strong>for</strong> registrants untilDecember 30, 2012 at a special rate <strong>of</strong> $109 deluxe,$139 executive suite, plus tax, per night. Rates includefree wireless internet and continental breakfast eachmorning. If conference attendance exceeds expectations,rooms in the conference block may be sold out prior toDecember 30, 2012. Please call the Country Springs Hotelat 262-547-0201 or 800-247-6640 <strong>for</strong> reservations andmention the <strong>Medical</strong> <strong>College</strong> <strong>of</strong> Wisconsin to receive thereduced rate.LOCATIONThe 43rd Annual <strong>Winter</strong> <strong>Refresher</strong> <strong>Course</strong> will be held atthe Country Springs Hotel & Conference Center located just<strong>of</strong>f Interstate 94 in Waukesha at 2810 Golf Road.DIRECTIONSFrom Interstate 94, exit Highway T north (exit 293). Travel1/8 mile and turn left onto Golf Road. Drive west on GolfRoad <strong>for</strong> one mile and you arrive at the Country SpringsHotel & Conference Center.FEES AND REGISTRATIONRegistration fees are discounted by $50 if paid be<strong>for</strong>eDecember 31, 2012. *Does not apply <strong>for</strong> SAM registration.For ONLINE REGISTRATION please visitwww.familymedicine.org.Payment In<strong>for</strong>mationPlease make checks payable to: <strong>Medical</strong> <strong>College</strong> <strong>of</strong> WisconsinReturn this <strong>for</strong>m to: <strong>Medical</strong> <strong>College</strong> <strong>of</strong> Wisconsindepartment <strong>of</strong> <strong>Family</strong> & Community <strong>Medicine</strong>Attn: Bonnie Lawyer8701 Watertown Plank Road / P.O. Box 26509Milwaukee, Wisconsin 53226REGISTER ONLINE AT: www.familymedicine.orgREFUND POLICYAll refunds are subject to a non-refundable $100processing fee. To receive a tuition refund, send notice<strong>of</strong> cancellation in writing be<strong>for</strong>e December 31, 2012. Norefunds will be granted after that date. Fees will notbe refunded <strong>for</strong> no-shows.GOING GREENAll syllabus material will be made available viaour website at www.familymedicine.org. A hardcopy syllabus will not be provided. More details t<strong>of</strong>ollow with registration confirmation.FOR MORE INFORMATIONFor questions and in<strong>for</strong>mation please contact:Mary Ellen Radjenovich – Conference Coordinatormeradjen@mcw.eduPhone: 414-955-8189 | Fax: 414-955-6523Bonnie Lawyer – Registration/Infoblawyer@mcw.eduPhone: 414-955-4205 | Fax: 414-955-6523Karen Krause – Exhibit/Infokkrause@mcw.eduPhone: 414-955-8696 | Fax: 414-955-6522Name and Degree (Please Print)_____________________________________________________________Business Address_______________________________________________________________________City_________________________________________ State___________________ Zip_______________Business Phone________________________________ Business Fax______________________________Email Address (For confirmation only.)__________________________________________________________First time attendeeVegetarian MealSpecial Needs_________________________________________________________________________Method <strong>of</strong> Payment: Visa MasterCard CheckCredit Card #___________________________________________________ Exp. Date________________Authorized Signer (Please Print)_____________________________________________________________Physicians $475 Active Preceptors $425Physician Assistant/Nurse Practitioner/Resident/Fellow/Inactive or Retired Physician $400Daily WRC Registration $260 per dayWednesday Thursday FridaySubtract $50 from WRC registration fee if mailed be<strong>for</strong>e December 31, 2012.WAFP Annual MEETING Dinner (No charge <strong>for</strong> WAFP members. Guests $40.)WRCSelf-Assessment Modules (All sessions are limited to the first 30 registrants.)Tuesday, 1/29/2013 Well Child CareFriday, 2/1/2013 Care <strong>of</strong> the Vulnerable Elderly$125 per session <strong>for</strong> WAFP members, $250 per session <strong>for</strong> Non-WAFP members(Please note: If only registering <strong>for</strong> the SAM sessions, register online at www.wafp.org/annualmeeting)
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