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Pay for your guest

If you are bringing a guest to the New Jersey Doctor-Patient Alliance Practice Enhancement Seminar on Monday, June 11, you can pay for your guest in advance. Please use your name on this form. (You can also forward this form to your guest if they wish to pay with their own card.)

Each guest is $50. If you have not yet sent us the names of your guests, please pay, then send their name and email address to jgelb@nj-dpa.org.

Thank you!

Looking forward to seeing you this evening.

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