http://www.healthcareroundtable.org

2011 Annual Conference Registration

Please complete the form below to register for the Nov. 7-9 HealthCare Roundtable Annual Conference. 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 Hotel Monaco in Alexandria, Va. To make reservations at the specially reduced rate of $209 per night, call the hotel by Oct. 4 at (800) 368-5047 and request the Public Sector HealthCare Roundtable
Conference rate.

2011 Annual Conference Registration Form
Name of Organization
Number of People Attending
Type of Registration Roundtable Member ($450 Per Person)
Non-Member ($600 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
If there are additional attendees, please list them in the Comments box.
Comments or Questions



© 2011 Public Sector HealthCare Roundtable All Rights Reserved. Reproduction without permission prohibited.