SEAK, Inc. Cape Cod, August 2004 REGISTRATION FORM
To register, call SEAK,
Inc. at 508-457-1111, or Print this form and complete the requested information
(neatly, please),
and FAX to SEAK, Inc. at 508-540-8304, with
credit card information.
Or mail with credit card information or check to: SEAK, Inc. PO Box
729, Falmouth, MA 02541
priority code: Net
Please register me for:
___Medical Malpractice Survival Training for Physicians ($695) Cape Cod August 12-13, 2004
___Business School for Physicians ($695) Cape Cod August 12-13, 2004
___How to Be a Successful Independent
Medical Examiner ($695) Cape Cod August 12-13,
2004
___Negotiating Skills for Physicians ($395) Cape Cod August 13, 2004
___Asset Protection for Physicians
($395) Cape Cod August 14, 2004
___Investing Strategies for Physicians ($395)
___How to Be an Effective Medical Witness ($695) Cape Cod August 14-15, 2004
___Non-Clinical Careers for Physicians ($695) Cape Cod August 14-15, 2004
___Advanced Financial Strategies for Physicians ($395) Cape Cod August 15, 2004
___Practice Management Skills for
Physicians ($695) Cape Cod August 16-17, 2004
___Law School for Physicians ($895)
____Amount
Enclosed
(Persons registering for two or more courses receive a 20% discount off of each
course)
| Check Enclosed (made out to SEAK, Inc.) | ||
| Credit Card Billing | Type of card: ___Visa ___MC ___AE | |
| Card No.
|
Exp. Date: |
|
| Signature
|
||
Please print or type all information. Use abbreviations as necessary.
| Name Title |
| Name of Organization |
| Address
|
| City State Zip |
| Phone (Area Code/Number) Fax |
| Specialty |
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SEAK, Inc. FAX (508) 540-8304