2012 AIM Institute Physician Licensing, Profiles and Technology Seminar
November 9-10, 2012
New Orleans LA
• Meeting Registration Fee for the AIM Institute
• Members pay $200 per person
• Non-members pay $250 per person
• Please make checks payable to: Administrators in Medicine
• AIM Federal ID Number: 74-2329314
Mail this Payment Form along with your check payable to Administrators in Medicine:
Administrators in Medicine (AIM)
c/o Operations Management
PO Box 403
Augusta, ME 04332
• Refund Policy:
All cancellations must be in writing. Individuals who cancel more than 15 business days prior to the meeting are entitled to a refund of their registration fee, less a $30 processing charge. Cancellations made less than 15 business days of the meeting are non-refundable.
Check Applicable Boxes Below:
Registering for AIM Institute Seminar in New Orleans on November 9-10, 2012
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