2016 KAFP Annual Meeting

Brochure and Printable Registration

Download (PDF, 30KB)

Online Registration

Name (required)

Profession (MD, DO, PA, RN, etc.)

Spouse/Guest(s)

Address

City/State

Zip

Fax

Email

Full Conference Fee
KAFP and Other AAFP Members ($375)Life Members ($55)Non Members of the AAFP ($400)Other Health Care Providers ($350)Residents and Students ($55)

Please indicate if you plan to attend only the following events

KBML HB1 Session ONLY ($125)KNOWLEDGE SELF-ASSESSMENT (KSA) WORKING GROUP #1 ONLY ($125)KNOWLEDGE SELF-ASSESSMENT (KSA) WORKING GROUP #2 ONLY ($125)

Special Events (No charge, but please indicate if you plan to attend:

Past Presidents Luncheon (indicate number below)Spouse Brunch (indicate name below)

Past Presidents Luncheon -- Number Attending:

Spouse Brunch -- Number Attending: