Taking a Case Management Certification Exam?
Looking for the best review for
your $$$?
The Alamo
Chapter-CMSA has the prep course for you!
What: Steps for Success; 1 Day Review
Course
When: Saturday, September 25,
2010
Registration begins at 7:30 AM
Program - 8:00 AM – 5:00 PM
Where: Spring Hill Suites
3636
NW Loop 410
(410
& Fredericksburg Rd.)
San Antonio, TX 78201
Faculty: Terri Payne, RN, BSN, CCM
Fees: AC-CMSA member: $125.00
Non-member: $150.00
(Fee includes syllabus and
catering)
Register: Register online and pay using Paypal at www.accmsa.org (click Events button then
select RSVP and then click drop down box and select the appropriate member vs.
non-member Case Management Prep for Success Selection). You can also contact Helen Butler-Nicholson,
Treasurer at 210-410-6083 and give credit card information.
RSVP to Terri Payne, RN, BSN, CCM at 210-273-6282
or tpayne003@satx.rr.com
for additional information.
Deadline is September 20,
2010. There is no on-site registration or payment.
Cancellations/withdrawals before September 20, 2010 will be refunded minus a $35.00
administrative fee. After September 20, 2010; there will be no refunds. Registration
is per person and may not be transferred to other AC-CMSA events or programs.
This program prepares
case managers for national
certification!
Thank you to our AC-CMSA
Sponsors who support
the educational mission!
Alamo Chapter Case Management Society of America (AC-CMSA)
Registration Form
Event: Case Management Steps for Success - One Day
Review
Course presented by Terri
Payne, RN, BSN, CCM
Date: Saturday, September 25, 2010
Location: Spring Hill Suites, 3636 NW Loop 410m San Antonio, TX 78201
Fees: $125 for AC-CMSA member and $150 for
non-members
Name:
_______________________________________________________
Address:
_____________________________________________________
City: _____________________
State: _________
Zipcode: ___________
Phone:
______________________ E-Mail: ____________________________
Paid online at www.accmsa.org via PayPal
Check enclosed Check # __________
Please bill my Visa MasterCard
#__________________________
For the amount of $______________. Card Expiration: _____________ Security Code: ______
Name as it is imprinted on card: ________________________________
Billing Address for Credit Card including Zip Code and phone
# if different from above: :
______________________________________________________________________________
Cardholder’s Signature:
_______________________________________
Payment must made no later than September 23, 2010
Please make checks payable to:
Alamo Chapter Case
Management Society (AC-CMSA)
PO Box
29306
San Antonio,
TX 78229
Deadline is September 20, 2010. There is no on-site
registration or
payment.cancellations/withdrawals before September 20,
2010 will be refunded minus a
$35.00 administrative fee. After September 20, 2010; there will be no
refunds.
Registration is per person and may not be transferred to
other AC-CMSA events or
programs.
For more information call Terri Payne, 210-273-6282 or email tpayne003@satx.rr.com