We are offering 28 Cat I CME hours for this conference which includes professional and clinical topics.

Fees:                                        Early Registration                 LATE Registration

HAPA Members( prior to May 09)                     $375*                                               $450**

Non-HAPA PAs, MDs, NPs                                  $450                                                 $525**

Banquet guest: $30 for each

* means HAPA membership prior to May 2009, not sending membership with registration fee.

** Registration fee for Post-marked after October 4, 2009 or onsite!!!!!

Daily Registration fee:

Monday, Tuesday, Thursday ---  $175

Friday -- $90

Registration fee includes breakfast daily, three lunches and the banquet( conference attendee).  IF

you wish to have your spouse or guest eat breakfast of lunch with you, please let me know in

advance for proper headcount for meals!

If you are a vegetarian please circle   YES

Name ________________________________________________________

Address ______________________________________________________

City _____________________________   State_________       Zip____________

Phone HM________________________   WK _______________________

Email _________________________

Credit Card AE/MC/V __________________________________________           Exp Date _____________

Registration fee: ________________ Banquet guest(other then attendee)_________  Total: _____________

Signature: ____________________________________

Please fill out this form and send to:

HAPA, PO Box 30355, Honolulu, HI 96820

or you may fax to Robert Null at 808-432-8330.

We look forward to seeing you here in Hawaii.