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* 1. Please enter the following information

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* 2. What is your profession?

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* 3. What is your specialty?

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* 4. When it comes to negotiating your contract or salary with your SP or Practice Administrator, which of the following best describes you:

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* 5. Which of the following best describes you (check all that apply)

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* 6. I would be interested in which of the following related to Salary, Negotiation and Contracts (check all that apply)

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* 7. Additional topics I'd be interested in learning about include (check all that apply):

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* 8. During a Town Hall LIVE, I would like Kasey to answer or discuss the following question or topic for me (enter your question/topic in the comment box below):

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* 9. By completing this FREE Registration I acknowledge that I may receive email notifications with information about future Town Hall LIVE events, valuable resources and information for providers, and other informative emails from Certified Physician Assistant Consulting.  I can opt out of these emails at any time.  I also acknowledge and understand that the information provided to me during these Town Hall events, or through other CPAC events, products and discussions, is based on our OPINION and our collection of professional experiences. Our advice is solely our opinion and is meant to serve as guidance during the negotiating process. We do not guarantee that the terms we recommend will be agreeable to all parties. Anyone who participates in events or purchases a service or product understands and agrees that he/she is solely responsible for any outcome as a result of such event, service or product, including but not limited to being terminated from employment, being litigated against from a current or past employer, or any positive or negative outcome whatsoever, and agrees to hold CPAC and its employees and/or agents harmless from such outcome. We do not provide any legal advice but can refer for that service. Please consult your attorney for any legal or contractual advice. Please acknowledge by checking the box below to be registered in the FREE CPAC Town Hall Community.

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