64th ANNUAL MEETING, November 15-20, 2009

 I wish to pre-register for the 64th Annual SMCAF Meeting, November 15-20, 2009 in conjunction with AMSUS in
St. Louis, MO
                                                 (Please print)

 NAME: ________________________________________________________________________________________

ADDRESS: _____________________________________________________________________________________

 TELEPHONE: ___________________________________________________________________________________

 E-MAIL ADDRESS: ______________________________________________________________________


Saturday October 25, 2008,  at USUHS.   Cocktails (cash bar) commencing at 1845

#________ Grilled Filet Mignon with Béarnaise Sauce

#________ Citrus Sword Fish with a Tri-Colored Relish

Reserve #________ Place(s), at $ 60.00 per person


 Guest Name: _________________________________________________________________________


Sunday October 26, 2008, Noon, at the USUHS cafeteria small dining room.

Reserve #________Place(s) at $ 15.00 per person (all members)

CHECK ENCLOSED: Conference Registration Fee: $__________ (member $25.00 / non-member $ 50.00 / Candidate Member $0.00)   

Breakfast on Saturday & Sunday and Lunch on Saturday included in Registration

                                 Banquet: $__________ for ______ place(s)                                     

                     Brunch: $__________ for ______ place(s)                                   

         Total: $_________________

Total cost for one member attending the conference, banquet, and the luncheon for one person is $ 100.00.
No monies will be returned if requested after 1 September 2008.

USUHS is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians and will
sponsor this years SMCAF meeting. There is a $25.00 registration fee for members and a registration fee of $50.00 has been set for non-members.

  DETACH AND MAIL WITH CHECK TO:                                      SMCAF

(Make payable to SMCAF)                                                          C/O MARGO CABRERO

                                                                                                     5 SOUTHERN WAY

                                                                                                     FREDERICKSBURG, VA 22406


 Make your reservations directly to the hotel. Note cut off date.

Blocks of rooms have been reserved in Bethesda at the following hotel: 

Hyatt Regency Bethesda               800-233-1234                                                 Cut off Date

Code: SMCAF Annual Meeting     301-657-1234     Single/Double   $ 201.00      September 25, 2008               

In order to plan accordingly for bus transportation, please let us know if you will be using transportation services provided for this event.

 Transportation needed   yes   /     no          (please circle if applicable).                                                              

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