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21th Annual BRFSS Conference Menu


Item: Conference 2004
Item: Registration Form
Item: Training Opportunities
Item: Call For Abstracts
Item: Request For Exhibit Space
Item: Agenda

Item: Current Conference *
Item: Conference Archive








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Conference 2004


The 21st Annual BRFSS Conference is over.
Information is provided for reference only.


Registration Form

Behavioral Risk Factor Surveillance System
21st Annual Conference
February 9–12, 2003
Scottsdale, Arizona

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Print Version
Registration Form (PDF–25K)
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Registration Deadline:
January 14, 2004

A registration fee of $185 is payable by check to Tennessee Opportunities Programs, Inc. (Fed ID# 23-7292125). The amount due after January 14 is an on-site registration fee of $235. All refunds after January 14 are subject to a $25 administrative fee. No refunds for conference registration or training will be made after January 23. Note: Your check/money order will not be processed until after January 14, 2004. Credit Cards or Purchase Orders will not be accepted. Please indicate below the total amount enclosed and submit this form with registration payment to:

Professional and Scientific Associates, Inc.
2957 Clairmont Road, NE
Suite 480
Atlanta, Georgia 30329
Telephone: (404) 633-6869
Fax: (404) 633-6477.

Print out and complete the following form
(Please Print or Type)


Name


Post-Graduate Degrees


Title


Affiliation


Address/Mail Stop


 




Business Phone


Fax


E-mail Address


 

  Enclosed Amount
Early conference registration $185  
Late conference registration $235  
SUDAAN Training No Cost
Re-weighting Training No Cost
Multi-level Analysis Training $75
Odds Ratio Training $75
CATI Forum No Cost
Total Amount Enclosed  

Pictures will be taken at this year’s conference and may be placed on our BRFSS Conference Web site. Do we have your approval to place your picture on our Web site? (Circle one)  YES or NO







* Links to non-Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.

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Page last reviewed: 12/11/2008
Page last updated: 12/11/2008

United States Department of Health and Human Services
Centers for Disease Control and Prevention
Office of Surveillance, Epidemiology, and Laboratory Services
Public Health Surveillance and Informatics Program Office (proposed)

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