3rd Annual
"News & Views in Respiratory Care" Seminar

                    Saturday, June 26, 2010    7:30am–1:00pm
                               (5.0 hours of AARC approved CRCE anticipated!)
__________________________________________________________________

                                Pre-Registration - By Mail

To register by mail, print out this form, complete it and mail it along with a check payable to the
"PSRC" to:

PSRC / Reading Hospital "News & Views" Seminar
c/o 225 Hampshire Drive
Sellersville, PA 18960-2876

Registration Rate                AARC Discounted Member Rate            
........$50.00................................................$30.00                                                  
                                                 (must provide valid AARC membership #)

Pre-registration by mail with payment by check or money order must be postmarked by 6/19/10


Name_________________________________      Credentials ________________

AARC Membership #_____________________ or    ___  Non-AARC Member
(If you don't know your membership number, call the AARC at 972-243-2272)

Address___________________________________________________________

City _______________________________ State___________ Zip_____________

Telephone (Day) ___________________ E-mail ____________________________

Hospital/Business/School Affiliation_______________________________________

Full refund provided for cancellations made by June 20, 2010. A credit for a future PSRC event will be provided for cancellations made after June 20, 2010.

Questions? Send an email to ExecutiveDirector@psrc.net