Fall CME Conference Registration Name(Required) First Last DesignationM.D.D.O.ResidentMedical StudentNo DesignationOtherWhat is your "Other" designation?Email(Required) Phone(Required)Any dietary restrictions?Product Name(Required)TNAFP/AAFP member ($150)Nonmember physician or other healthcare provider ($200)Resident & Medical student – ($0)Coupon Total Cancellation policy: TNAFP will issue a full refund for cancellation requests made in writing until Friday, September 6, less a $25 administrative fee. No refunds after September 6.Credit CardCard Details Cardholder Name
