Bandera - The Texas Podiatric Medical Foundation

HORSES - STEAK - BEER - NETWORKING
SAVE THE DATE!
Bandera
Cowboy Gathering
April 10-12, 2015
The Mayan Dude Ranch - Bandera, TX
www.txpmf.org
Benefiting Texas Podiatric Residency Programs*
Enjoy the original rustic ranch of the historic “Bandera Meeting”
Agenda At A Glance
2:00pm Friday through 10:00am Sunday - Cowboy Up!
n
National guest speakers up close and personal
n Resident case presentations
audience votes for best $500 award
n Sharing of profession - “Pearls of Wisdom”
n ...and open discussion
Cowboy Gathering Registration
Profits Benefit Participating Texas Podiatric Residency Programs
*space is limited
DPM Name: ____________________Email:____________________
Resident name: ____________________Program:_______________
All Inclusive Individual Cowboy Package: $595 per person
INCLUDES: TWO nights lodging at Mayan Ranch, all meals, beer &
wine, horse back riding, ranch activities, Cowboy Breakfast and 12
continuing education contact hours.
*For guests/customized rates, contact: krista.richter@yahoo.com
Inclusive meal packages are per person and per child at the ranch.
Please note several activites will take place around a bar area that is
not appropriate for children. Alternate activities available.
Guest
$325 per person
DISPLAY SPONSOR: without lodging
With 2 night lodging/meal package $850 per person
$1150 per person
I cannot attend this year, but would like to make a donation
to support the Texas Residency Programs c/o the TPMF: $ _______
donation
12 Continuing Education Contact Hours* provided by the Greater Texas Education
Foundation. GTEF is an approved continuing education provider by the Council of
Podiatric Medical Education. (www.gtef.org)
PAYMENT:
TOTAL: $ ________
m Check (#________) m AMEX
m Visa
Invited Faculty:
Credit Card #:__________________________Exp:______ Sec. Code: _____
n
Lawrence Harkless, DPM
Dean, Western UHSC, Pomona, CA
“Biomechanics and Taping - Underutilization, Tips & Demos”
n Doug Murdoch, DPM - Residency Director, Baylor Scott & White, Temple, TX
n James Kutchback, DPM - Private Practice, The Woodlands, TX
n Jason Armstrong, DPM - Private Practice, Houston, TX
n
n
Javier LaFontaine, DPM, MS
Faculty, UT Southwestern, Dallas, Tx
Texas Residents & Directors
Subject to edit. For sponsorships, contact staff@txpmf.org
www.txpmf.org | staff@txpmf.org | 888.659.4440
m MC
Name on Card: _________________________________________________
Signature: _________________________Phone:______________________
Billing Address:_________________________________________________
City: ________________________________ State: _____ Zip: __________
Email for Confirmation: ___________________________________________
Contact Information:
TPMF, 201 Stillwater, Ste 8, Wimberley, TX 78676
Fax: 888-394-1123 | Cell: 512-626-3674 | Email: staff@txpmf.org
Cancellation Policy: All reservations and donations are final.
Thank You For Your Support!
www.txpmf.org
HORSES - STEAK - BEER - NETWORKING
SAVE THE DATE!
Bandera
Cowboy Gathering
April 10-12, 2015
The Mayan Dude Ranch - Bandera, TX
www.txpmf.org
Benefiting Texas Podiatric Residency Programs*
Enjoy the original rustic ranch of the historic “Bandera Meeting”
Agenda At A Glance
2:00pm Friday through 10:00am Sunday - Cowboy Up!
n
National guest speakers up close and personal
n Resident case presentations
audience votes for best $500 award
n Sharing of profession - “Pearls of Wisdom”
n ...and open discussion
Cowboy Gathering Registration
Profits Benefit Participating Texas Podiatric Residency Programs
*space is limited
DPM Name: ____________________Email:____________________
Resident name: ____________________Program:_______________
All Inclusive Individual Cowboy Package: $595 per person
INCLUDES: TWO nights lodging at Mayan Ranch, all meals, beer &
wine, horse back riding, ranch activities, Cowboy Breakfast and 12
continuing education contact hours.
*For guests/customized rates, contact: krista.richter@yahoo.com
Inclusive meal packages are per person and per child at the ranch.
Please note several activites will take place around a bar area that is
not appropriate for children. Alternate activities available.
Guest
$325 per person
DISPLAY SPONSOR: without lodging
With 2 night lodging/meal package $850 per person
$1150 per person
I cannot attend this year, but would like to make a donation
to support the Texas Residency Programs c/o the TPMF: $ _______
donation
12 Continuing Education Contact Hours* provided by the Greater Texas Education
Foundation. GTEF is an approved continuing education provider by the Council of
Podiatric Medical Education. (www.gtef.org)
PAYMENT:
TOTAL: $ ________
m Check (#________) m AMEX
m Visa
Invited Faculty:
Credit Card #:__________________________Exp:______ Sec. Code: _____
n
Lawrence Harkless, DPM
Dean, Western UHSC, Pomona, CA
“Biomechanics and Taping - Underutilization, Tips & Demos”
n Doug Murdoch, DPM - Residency Director, Baylor Scott & White, Temple, TX
n James Kutchback, DPM - Private Practice, The Woodlands, TX
n Jason Armstrong, DPM - Private Practice, Houston, TX
n
n
Javier LaFontaine, DPM, MS
Faculty, UT Southwestern, Dallas, Tx
Texas Residents & Directors
Subject to edit. For sponsorships, contact staff@txpmf.org
www.txpmf.org | staff@txpmf.org | 888.659.4440
m MC
Name on Card: _________________________________________________
Signature: _________________________Phone:______________________
Billing Address:_________________________________________________
City: ________________________________ State: _____ Zip: __________
Email for Confirmation: ___________________________________________
Contact Information:
TPMF, 201 Stillwater, Ste 8, Wimberley, TX 78676
Fax: 888-394-1123 | Cell: 512-626-3674 | Email: staff@txpmf.org
Cancellation Policy: All reservations and donations are final.
Thank You For Your Support!
www.txpmf.org