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Registration

In order to avoid problems, headaches and confusion, please be considerate and prepay all functions and dues.  It was decided by an overwhelming majority that a $100 per person penalty will be charged to those who do not prepay.  No exceptions.  Preferred and priority seating arrangement for the Grand Ball will be given ONLY to those who prepay.

Registration should be prepaid by check or PayPal.  If you want to use  the "cart system" below, click on the appropriate carts to enter your choices.  At the end of the order process, click PayPal to pay or print the final order form and mail it along with your check payable to ASOCIMAI to:

Dr. Ronald L. Poblete
777 Rifle Camp Road
Woodland Park, NJ 07424

 

Another option is to click on the registration form icon on the right-hand column of your screen and fill in the appropriate fields.  Print the form and mail it along with your check payable to ASOCIMAI to the same above address.

PayPal option is now available to send in your payment.  Click here.

Alumni in residency training may register for all the events at 50% discount.

*** Please respond by June 11, 2022 ***


Any questions, please contact:

Dr. Rise Faith Espina Dajao
(757) 753-9237 (cell)
e-mail: risefaith@yahoo.com

For all alumni members: Even if you are not attending this year's reunion, we request that you pay your membership dues of $100.00 in order to support your alumni organization.

All dues and expenses are tax-dedcutible.  Please consult your accountant or tax lawyer for additional information

    Price:
    $100.00
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    Please indicate the number of persons attending.

    Price:
    $100.00
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    Price:
    $250.00
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    Please indicate the number of persons attending

    Price:
    $150.00
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    Please indicate the number of persons attending
    Price:
    $150.00
    add product
    Price:
    $150.00
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    Mail your Registration Form to 

    Dr. Ronald Poblete

    777 Rifle Camp Road

    Woodland Park, NJ 07424

    Mail your Registration Form to:

    Dr. Ronald L. Poblete
    777 Rifle Camp Road
    Woodland Park, NJ 07424