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<title>Thank you for completing your 2006 membership survey</title>
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<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
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<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>Please complete the f=
ollowing
form and return it to:<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>PSPA PO Box 128 Greensburg, PA 1560=
1.
Thank you.<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>Name:
________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>Address:
______________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>__________=
_______________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>Phone:
________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>Email:
________________________________<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>I am interested in he=
lping
with the conference planning committee in the following way:<o:p></o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Topic selection=
<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Speaker selecti=
on<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Seek corporate =
support<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Identify exhibi=
tors<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Brochure develo=
pment<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Syllabus develo=
pment<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____ Meal planning<o=
:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>_____Special event pl=
anning<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>_____ Welc=
ome
reception<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>_____ Sile=
nt
Auction<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>_____ Stud=
ent
Medical Challenge Bowl<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>_____
Volunteer Appreciation Reception<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><span style=3D'mso-ta=
b-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>_____ Post=
er
presentations<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>____ Registration<o:p=
></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>____ Speaker introduc=
tions<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'>____ Other <o:p></o:p=
></span></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

<p class=3DMsoNormal><span style=3D'font-size:14.0pt'><o:p>&nbsp;</o:p></sp=
an></p>

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