Your Company Name Here
Prepayment for Greater Omaha AAPC Monthly Chapter MeetingsThe
cost of the monthly meeting will be $5 a month for members who
pay at the door and for all visitors. However, if you prepay for the
entire year the cost is $35.00 which is a saving of $20.00. This is
non-transferable and non-refundable.Please fill out the information
below and return it with your check payable to the Greater Omaha
AAPC for $35 if you want to prepay your meeting dues for 2008.
Name: (Print) ___________________________
AAPC Membership #_____________________
Daytime Phone Number: ___________________
Address ___________________
City __________________________________
State _____________________
Zip _______________________
email ____________________________
Please indicate which location you plan on attending the chapter
meetings ____________
UNMC P at Mutual
Omaha VA,
Grand Island VA,
Lincoln VA,
Shelton
Shelton Precision Medicine
Knoxville VA
Iowa City VA
Please mail this form
Omaha AAPC
PO Box 6324
Omaha, NE 68106-0324
cost of the monthly meeting will be $5 a month for members who
pay at the door and for all visitors. However, if you prepay for the
entire year the cost is $35.00 which is a saving of $20.00. This is
non-transferable and non-refundable.Please fill out the information
below and return it with your check payable to the Greater Omaha
AAPC for $35 if you want to prepay your meeting dues for 2008.
Name: (Print) ___________________________
AAPC Membership #_____________________
Daytime Phone Number: ___________________
Address ___________________
City __________________________________
State _____________________
Zip _______________________
email ____________________________
Please indicate which location you plan on attending the chapter
meetings ____________
UNMC P at Mutual
Omaha VA,
Grand Island VA,
Lincoln VA,
Shelton
Shelton Precision Medicine
Knoxville VA
Iowa City VA
Please mail this form
Omaha AAPC
PO Box 6324
Omaha, NE 68106-0324
Chapter Dues
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
| |
 |
