Traditional Chinese Medicine Association and Alumni

www.tcmaa.org

Public Education on Acupuncture and Herbal Medicine

Registration Form

Last name		First Name				Middle initial
Home phone		Office phone			Cell phone
Mailing address : No., Street & Apt. No.: ________________________________ City ________________________________________ State and Zip Code____________________________
Email address 1			Email address 2 (if any)
How did you hear about this seminar?	from friend Received email Saw flyer in the church, gym, nutrition store. Others (please indicate):
Topics				Time		Location	Deadline for pre-registration	(√) if you attend
Improving Your Health through Acupuncture and Herbs				11:00am-12:30pm May 7, 2006		PCOM	April 30, 2006
Women’s health: Acupuncture and Herbs				1:00pm-2:30pm May 7, 2006		PCOM	April 30, 2006
Acupuncture and Herbs to Prevent and Treat Seasonal Allergies				3:00pm-4:30pm May 7, 2006		PCOM	April 30, 2006
Qi Gong Therapy for Treating Simple Diseases				11:00am-12:30am May 14, 2006		NYCTCM	May 7, 2006
Acupuncture and Herbs in the Treatment of Depression				1:00pm-2:30pm May 14, 2006		NYCTCM	May 7, 2006
Chinese Food Therapy				6:00pm-7:30pm June 2, 2006		PCOM	May 26, 2006
Fees: Pre-registration $20 per seminar On site registration: $25 per seminar (please call the following telephone numbers 24 hours before the seminar to make sure seats are available.)				Please write a check payable to: TCMAA. Send the check and this form to: TCMAA 108-A E. 38^th Street New York, NY 10016

Locations:

Pacific College of Oriental Medicine (PCOM)

915 Broadway (on the corner of 21^th Street), 2^nd Floor

New York, NY 10010

New York College of Traditional Chinese Medicine (NYCTCM)

Manhattan Center

13 E. 37^th Street (between 5^th Ave and Madison), 2^nd Floor

New York, NY 10016

Any question, please contact us at education@tcmaa.org or call 646-290-1088, 201-709-7350.