Scribd Logo
Upload

Welcome to Scribd!

  • BMA Meeting Registration Form 2012

    Uploaded by

    alinyaunglay84
    10 views1 page
    This document is a registration form for the Burmese Medical Association of North America Annual Meeting. It requests the attendee's contact information and professional details. It lists the registration fee of $50 which includes meals and continuing medical education credits, and membership fees of $100 annually or $1000 for life. It provides contact information for submitting the completed form and notes the organization's website.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document is a registration form for the Burmese Medical Association of North America Annual Meeting. It requests the attendee's contact information and professional details. It lists the registration fee of $50 which includes meals and continuing medical education credits, and membership fees of $100 annually or $1000 for life. It provides contact information for submitting the completed form and notes the organization's website.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    10 views1 page

    BMA Meeting Registration Form 2012

    Uploaded by

    alinyaunglay84
    This document is a registration form for the Burmese Medical Association of North America Annual Meeting. It requests the attendee's contact information and professional details. It lists the registration fee of $50 which includes meals and continuing medical education credits, and membership fees of $100 annually or $1000 for life. It provides contact information for submitting the completed form and notes the organization's website.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Burmese Medical Association of North America Annual Meeting Registration

    Name _______________________________________________________________________________
    Year & School of Graduation ____________________________________________________________
    Address _____________________________________________________________________________
    ___________________________________________________________________________________
    Email _______________________________________________________________________________
    Phone ______________________________________________________________________________
    Current Professional status______________________________________________________________
    ___________________________________________________________________________________

    Registration fee (included breakfast, lunch & CME) ........................................................................ $ 50.00


    Waived for Physicians in transition

    Annual BMANA membership fee $ 100.00 ...................................................................... $ .........................


    Life-time BMANA membership fee $ 1000.00 ................................................................. $ .........................
    No membership fee for Physicians in training/in transition

    Attention:

    Dr. Elizabeth Myint & Dr. Chan Aung


    PO Box 20052, Baltimore, MD 21284

    Web Site:

    BMA-NA.org

    You might also like