Meeting Registration December 2018

AAHAM December 7, 2018 Event –
Individual Member or Non-Member

Member Fee: $75/person
Non-Member Fee: $100/person

Fill out the form below to register:

Registration Type (Select One):
Name / Title:
E-Mail Address:
Hospital / Company:


If paying by check:

Please make checks payable to WRAAHAM and send to:

Rian Pierce
First Vice President & Membership Chair (AAHAM)
1248 Crestview Ave SW
New Philadelphia, Ohio 44663