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       "PSRC Conference in the Capital"
                                                        
Friday, October 10, 2008
 
                     4 Points Sheraton Hotel, Harrisburg, PA

         "Early Bird" Pre-Registration - By Mail


Pre-registration by mail with payment by check or money order must be postmarked by 7/31/08.  To register by mail, print out this form, complete it and mail it along with a check payable to the "PSRC Conference In The Capital" to:

PSRC Conference In The Capital
c/o 809 Pajabon Drive
Palmyra, PA 17078-3011



Name_________________________________      Credentials ____________________

AARC Membership #_____________________      (if non-member, write NON-Member)
    (if you don't know your number, send an email to officeman@psrc.net)

Address___________________________________________________________

City _______________________________ State___________ Zip_____________

Telephone (Day) ___________________ E-mail ____________________________

Hospital/Business/School Affiliation_______________________________________




Questions? Send an email to officeman@psrc.net