SDAFP Oktoberfest Member Event

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1 Please Join Us The SDAFP Board of Directors wants you to know what we are doing for our members! SDAFP Oktoberfest Member Event We are excited to announce a special event for: SDAFP Members Family Medicine Physicians, Family Medicine Residents and Medical Students! We will have several displays with our information regarding SDAFP Activities! On Saturday October 24th we will be having two SAM Sessions Hypertension and Cerebrovascular Disease (separate fee for SAM session) Our Event is purely a social event intended on bringing together our physician members for an evening of fun! We welcome our medical student and resident members to attend as our guests! Stop by and learn a little about some different micro brewery s and how to pair certain wines! We will even have some scotch sampling! Cost for Physician Members: $30 per person Or 2 for $50 Reid Blackwelder, MD, FAAFP Robert Wergin, MD, FAAFP The Event will feature two guest speakers who will give a brief presentation at 7:45. They are Dr. Reid Blackwelder current AAFP Board Chair and Dr. Robert Wergin current AAFP Board President. They will give an update on the AAFP Health is Primary Campaign and be around to address member concerns regarding the AAFP. This premier event will take place at Great Bear Ski Lodge in Sioux Falls, SD on Friday October 23, 2015 from 6:30-8:30 PM. The event will include hors d oeuvres and we will be sampling and learning about a selection of Micro Brew Beers, Wines and Scotches. This will be a fundraising event with the proceeds going to sponsor student and resident activities and conference scholarships. South Dakota Academy of Family Physicians SDAFP 3912 Golf Course Raod Watertown, SD Phone: Fax: To register Payment can be made by check only you can pay at the event or mail to the address above.

2 2015 SDAFP Oktoberfest Registration The SDAFP Board of Directors and Past President s will be hosting a social/fundraising event featuring two AAFP Board Members and highlighting the AAFP Health is Primary Campaign. Dr. Reid Blackwelder, current AAFP Board Chair and Dr. Robert Wergin, current AAFP President will be in attendance. We will also be showcasing what we do for our members. We will be sampling and learning about micro brew beers, wines and scotches. The fundraising raffle and event proceeds will be used to fund student and resident activities. Date: Friday October 23, 2015 Admission: $30 Per Person in advance Time: 6:30-8:30 PM $50 Per Couple in advance Place: Great Bear Ski Lodge $40/60 at the door 5901 East Rice Street Medical Students and Family Medicine Residents N/C Sioux Falls, SD Dress: Cocktail Attire (Festive and fun but not formal) Print Name: Address: (Medical Students and Family Medicine Residents Must Pre-Register and may bring a guest for $20.) Please reserve my tickets for the 2015 SDAFP Oktoberfest Event Phone #: ( ) # of tickets I will send check I will pay at the event I m unable to attend, but enclosed is my donation in the amount of $ (Donations can be made through the SDFFM Foundation which is a 501 C3 organization) We will be having a silent auction so donations are welcome and encouraged! Complete this form and mail or fax to: SDAFP 3912 Golf Course Road, Watertown, SD Questions? Contact Carletta Hauck, SDAFP Executive Director, at (phone/fax) or

3 SDAFP SAM Group Learning Session Registration Saturday October 24 th 2015 Sioux Falls Family Medicine Residency and Distance Learning Networks Name and title Street address City, State Zip Phone address (required): Important information will be ed to you prior to the SAM Group Learning Session. SDAFP fees and payment: Registration fee is $200 for both sessions or $125 per session: Sessions: 9:00 Cerebrovascular Disease 1:00 Hypertension I will mail in my check (payable to the SDAFP) I will pay on site ABFM #: SDAFP/AAFP #: IMPORTANT NOTES: You may log onto the American Board of Family Medicine (ABFM) BEFORE the SDAFP SAM Group Learning Session on and pay the fee for Maintenance of Certification. The amount depends on when you recertify. You pay this fee directly to the ABFM. You must provide me with your ABFM number or your AAFP number so that I can register you for the group session. If you prefer to pay the ABFM fee after the session then when you log on to do the clinical assessment portion of the SAM it will require you to make payment to continue. The fee you pay the SDAFP is to offset venue/materials/research and speaker. You do not need to bring a laptop to this session. Lunch will be served to all registrants in attendance on site. Just fill out this form and mail or fax it to: Carletta Hauck, Executive Director SDAFP 3912 Golf Course Road,Watertown, SD phone/fax

4 South Dakota Academy of Family Physicians 2015 Silent Auction Auction Item Registration Form October 23, 2015 Donor Name: Contact Name and Title: Day Phone: Fax: Address: City/State/Zip: Item Donated: Description of Item: Value:$ Please return this form no later than October 15th in order to be included in the Auction Brochure. Item/Certificate is enclosed. Item needs to be picked up. Item will be delivered by (name) to the event. Thank you for your donation. SDAFP 3912 Golf Course Road Watertown, SD (605)

5 RESERVATION INFORMATION: Arrival Date: 10/23/2015 Departure Date: 10/25/2015 HOTEL INFORMATION Fairfield Inn and Suites Sioux Falls Fairfield Inn & Suites Airport 4035 North Bobhalla Drive Sioux Falls, SD Number of Nights: 2 (I have tentatively booked 15 rooms so make your reservation early to be guaranteed a room!) Room Type Number of Rooms Room Rate Tax Rate Queen/Queen 10 $ % King 5 $ % The Fairfield Inn does have Shuttle Service and will bring Guests to and from Great Bear Ski Lodge for the Event! Questions? Contact Carletta Hauck at

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