International African American Prosthetic & Orthotic Coalition

Annual Meeting
22nd- 24th April 2010
Crowne Plaza
300 North Second Street, Memphis, TN 38105
901.525.1800 / 800.496.7621


Registration Fees                                             Early                     Late*
IAAPOC Active Member                                         $175.00                  225.00
Associate Member                                                 165.00                  215.00
Non-Member                                                         225.00                  275.00
Allied Health (PT,OT)                                              175.00                  225.00
Student                                                                 50.00                    75.00
Golf Benefit Scholarship Fund / per person               100.00                  100.00

* Late Fees Applied After the 22nd March 2010

Please call 901.270.5471 to register after the 22nd of Mach.


Hotel room rates are $129 for a single or double. Please call the hotel directly for room reservations. Rooms are reserved under International African American Prosthetic & Coalition. These rates are good until the 22nd of March.

The Golf Benefit is Thursday the 22nd of April. Pick-up will be in the hotel lobby at 7:30 a.m.

Make check payable to IAAPOC and mail the registration form to:

Jack Steele, CO
Snell’s Limbs and Braces
7 North Bellevue
Memphis, TN 38104

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Meeting Registration Form

Name:________________________________________________    Title:________________

Address:___________________________________________________________________

City:___________________________________ State:__________ Zip:________________

Phone(W)____________________(H)___________________(Fax)__________________(W\H)

Names of additional attendees:___________________________________________________

Total Number of Golfers:____________ Amount enclosed of golf:                               $______


____ I am an active member, my $100 annual dues are included.                               $______
                                           
____ I would like to become a new member. My annual dues of $100 are included.     $______


____ I am _____________, my registration fee of $________ is included.                      $______

____ I would like to make a donation to the Scholarship Fund.                                 $______



Total # Attending:____                                                Total Registration Fees        $______


                    Total Amount Enclosed     $______________________