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American Society of Exercise Physiologists
ASEP CONFERENCE
REGISTRATION
8th ASEP National Conference
Embassy Suites Hotel
1200 S Moorland Road
Brookfield, WI 53005
To register,
please print this form, complete the requested material, and mail with a check
for the appropriate
amount to the ASEP National Office.
Name/Highest
Degree:
________________________________________________________________________________
Mailing Address/email:
________________________________________________________________________________
_______________________________________________________________________________
Conference Fee per Membership Category (please
circle one):
Professional Member ($275)
Professional Certified (EPC) Member ($250)
Professional non-member ($300)
Student member ($50)
Student non-member ($75)
Annual Membership Fee for 2007 (please circle one):
Professional Member ($80)
Professional Certified (EPC) Member ($70)
Affiliate Member ($100)
International Member ($100)
Fellow Member ($70)
Student Member ($40)
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Please send this form and check to:
ASEP
National Office
Department of Exercise Physiology
The College of St.
Scholastica
1200 Kenwood Avenue
Duluth, MN 55811
If
additional information is needed, please contact the National Office via:
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