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CONFERENCE PROGRAM   FOR SPONSORS AND EXHIBITORS   FREE: HEALTH IT CAREER ADVANCEMENT EVENT


On line registration is now closed

HealthTECH Workforce Forum
Attendee Registration

Thursday, May 19, 2011
University of Connecticut, Stamford
One University Place
Stamford, CT 06901


Directions

Each attendee, speaker, exhibitor staff and guest
is required to register separately.

  For Speakers, Exhibitors and Guests: Enter Code Here:     

--Full Day --
8:00 am to 5:00 pm

(Includes continental breakfast, lunch,
coffee service and parking)
Free--
--Afternoon Only
--

Career Advancement Workshops and Employer & College Exhibiting
(There is no charge for the afternoon only events.
However you are required to pre-register as workshop seating is limited)
Name of Person Attending
Full Day Program
(includes Free Afternoon Workshops)

First and Last Name:

Job Title:

Organization:

Email Address:



NOTE: Registration is now closed.
On-site registration only.
Name of Person Completing this Form if Different from Attendee Indicated Above

First and Last Name:

Job Title:

Organization:

Email Address:



Last Day to
Register Online
May 15, 2011
On Site
Registration Only
On or After
May 16, 2011

   
$75   
$85   
(Please click check box to select one)
Student Registration

(For full time students
currently enrolled in
either a college degree
or HIT certification program)




$25   

College Name:

Degree or Certification Program:

Total Purchase   Total:  
Confirm Purchase


Attendee Registration Terms

HRMS
customer service.
Call (310) 855-1064 or email CTSupport@hrms.net

  • Cancellations received in writing by 15 days prior to the event (May 4, 2011) are fully refundable, less a $10 processing fee. Submit by email to CTSupport@hrms.net. Cancellations received after that date are non refundable, but transferable. Send name of person you are transferring registration to CTSupport@hrms.net.
  • PayPal is used to process your electronic registration. PayPal does not accept all types of American Express CORPORATE cards. If your Amex card does not work, please use your Visa or MasterCard for the purchase.
  • PayPal will issue you an electronic ticket. Please print and bring to the event. No other paper tickets will be issued. If you use a credit card, the transaction will appear on your bill as “PayPal HRMS,Inc..”
  • For those of you who prefer to pay by credit card over the phone, or experienced a problem using PayPal, you can register by calling HRMS customer service at (310) 855-1064 or email CTSupport@hrms.net.
  • For those who prefer to register by mail, please send check made out to HRMS for the correct amount and include your full contact information, including email. Mail to: HRMS, 8491 West Sunset Boulevard, Suite 675, West Hollywood, CA 90069. Payment must be postmarked prior to the reduced discount rate date. In addition, please email CTSupport@hrms.net to notify us that you are sending a check so that we can prepare your conference materials.