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THE THIRTY-FIRST
ANNUAL
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AN AFFILIATE OF THE OHIO FOOT & ANKLE MEDICAL ASSOCIATION AND AMERICAN PODIATRIC MEDICAL ASSOCIATION
THE ANNUAL
REGISTRATION FORM
PROGRAM SCHEDULE
Your group has blocked rooms at the Holiday Inn - Independence. To make your particular room reservation, please
complete this card no later than 21 days before check-in. Reservation must be received no later than March 1, 2016.
Check-in Date:
Name
Address
City
Phone
All reservations will be held until 6 p.m. In order to guarantee your room for late arrival we
request a major credit card number.
CC Type:
CC#:
Exp. Date:
WORKSHOPS:
1) 6:00P.M. 9:00P.M. Full Contact Casting,
Hands-on Workshop
Sponsor: Derma Science
2) 6:00P.M. 9:00P.M. Functional Gaite Analysis
Presenter: Louis DeCaro, DPM
Sponsor: NOLARO
9:00P.M. 10:30P.M. Wine & Cheese Reception Sponsored
in part by Bako Labs and the North
Central Academy of Podiatric Medicine
WORKSHOPS:
1) 6:00P.M. 9:00P.M. Improved Patient Care Through Lawsuit
Protection & Prevention for Podiatrist
Presenter: Larry Oxenham
Sponsor: American Society for
Asset Protection
2) 6:00P.M. 9:00P.M. Podiatry Content
Presenter: Randy Rosler
Sponsor: Podiatry Content Connection
Mail to:
Name
Address
City
State
Phone (
Zip
e-mail address
TUITION:
APMA Members:
Non-Members: