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2017 Annual Conference Registration

Please complete the form below to register for the 13th Annual Public Sector HealthCare Roundtable Annual Conference from Nov. 1-3, 2017.

We will send you an invoice for the registration fees. If you have any questions or would prefer to register by phone, please call
(703) 684-5236.

This year's conference will be held at The Alexandrian in Old Town Alexandria, Va. Rooms can be reserved at the special conference rate of $229 a night until Oct. 4.

2017 Annual Conference Registration Form
Name of Organization
Number of People Attending
Type of Registration Roundtable Member ($500 Per Person)
Corporate Member ($750 Per Person)
Non-Member ($1,000 Per Person)

If you would like to learn more about
becoming a member, click here
Contact Person
Name
Title
Address
City, State, ZIP Code
Telephone
Fax
E-mail
Will This Person Be Attending the Conference? Yes
No
Other Attendees
(If Any)
Name
Title
E-mail
Name
Title
E-mail
Name
Title
E-mail
Please list any additional attendees in the Comments box.
Comments or Questions




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