EMBRACING CHANGE, MOVING FORWARD
AUGUST 24 & 25, 2009
2009 NSRC FALL CONFERENCE REGISTRATION FORM
Registration Fee Schedule
 
Two Days
One Day
AARC Member
$125
$75
Non-Member
$175
$100
Student
$50
$35
Please fill in the blanks below
If you are an AARC Member, and provide us with your member number, it will be submitted to the AARC for tracking your CRCE's.
IMPORTANT NOTE:  You can register online for the conference.  The Nevada Society for Respiratory       
Care is able to accept credit card payments through PayPal at this time.  There is a 3% Handling             
 charge for using PayPal.  

You may also send a check for the amount owed to Nevada Society for Respiratory Care, PO Box
28686, Las Vegas, NV 89126.   Payment is due by AUGUST 20, 2009.  If paying by check, please
include your driver's license # including expiration date on the check.  

Space is limited and registration will be accepted on a first-come, first serve basis. Letters
confirming registration will not be issued. Your cancelled check will serve as your receipt.
Cancellations made prior to the start of the conference are subject to a $25 processing fee.
Participants failing to cancel prior to the start of the conference will not receive a refund.
Appropriate refunds will be mailed within 45 days after the conference.

CRCE's will be mailed/emailed within 30 days of the completion of the conference dependent on
clearance of payment of registration fees.  
Select one of the Options Below
To Clear Form, Click on Reset
Please submit this form then return to this page to pay by credit card.   
AARC Member - Both Days
AARC Member - 8/24/09 Only
AARC Member - 8/25/09 Only
Non-Member - Both Days
Non-Member - 8/24/09 Only
Non-Member - 8/25/09 Only
Student - Both Days
Student - 8/24/09 Only
Student - 8/25/09 Only