|
Where did
you find out about this conference?
|
| Email: |
|
| Name: |
|
| If
Federal Sector: Rank
Branch |
| Designations: |
|
| Badge Name: |
|
| Title: |
|
| What
is your specialty?
|
|
What is your
title/level within your organization? Please select
comparable position if your exact title is not listed.
|
| Company: |
|
| Address: |
|
|
|
|
City:
State: |
| Zip:
Country: |
| Phone: Fax: |
New
Address?:
|
AM ACCA
Pre-Conference (Wednesday, March 26, 9:15 am -
12:00 pm)
Keys to Launching a Successful
Women’s Heart
Center
PM ACCA Pre-Conference (Wednesday, March 26,
1:30 - 4:45 pm)
Leadership for
Cardiovascular Administrators |
AM ACCA Pre-Conference
ACCA/AAMA Member
$150
Non Member $150
PM ACCA Pre-Conference
ACCA/AAMA Member $150
Non Member $150
|
| Conference
Registration (March 26-28) (includes reception March 26, Thursday
lunch, continental breakfasts and all sessions) |
| AAMA
member $525.00
|
Non-members
$700.00
Includes a complimentary 2008 membership |
| Full-time
Student (ID required)
$100
|
|
Thursday only - Member $400
Non-member $450
|
|
Friday
only - Member $175
Non-member
$250
|
Guest:
$85.00
(includes reception
March 26, Thursday luncheon & continental breakfast)
Guest Name:
|
|
Conveniently renew your AAMA membership
dues for 2008 |
|
2008 Annual Membership $205
|
|
CAAMA
EXAM (Wednesday March 26, 1:00 - 5:00 pm)
Registration Deadline is February 20, 2008 |
Exam
Registration: $250.00
Advance Registration and Payment Required
|
Voluntary tax deductible donation to the AAMA Research & Educational Foundation:
Support excellence in healthcare administration
The AAMA Foundation is exempt from taxation under section 501(c)3 of the Internal Revenue Code (IRC). Generally, contributions are considered charitable under the IRC section 170 and tax deductible as provided by law. The Foundation is eligible for matching funds.
|
Special Needs (ex.
Dietary)
|
Payment required at the
time of registration.
Payment Method:
|
|
Credit Card #
Exp Date:
Notes:
You will receive a confirmation by mail within 2
weeks.
|
|
To
register by mail, print this page and mail it with your check or credit card information to the
Academy office. Be sure
to include expiration date and signature for credit card
payments. Checks should be made payable to "AAMA".
Please remit to:
American
Academy of Medical Administrators
701 Lee St. Ste. 600
Des Plaines, IL 60016
|
|
ACCA/AAMA
CANCELLATION
POLICY
Cancellations must be received in writing by March 5, 2008 to qualify for a refund. A $50 processing fee will
be deducted. All no shows
will be billed. After March 5, 2008, no refund will be
provided. Occasionally changes in the conference
may be made due to speaker availability, participant
demand or unforeseen circumstances. While ACCA/AAMA will do
everything possible to ensure participant satisfaction, AAMA's liability is limited to the registration fee
only.
|
|
EARLY REGISTRATION IS ENCOURAGED
Reservations at our hotel cannot
be guaranteed after February 20, 2008 Headquarters
Hotel:
Westin Michigan Avenue
909 N. Michigan Avenue
Chicago, IL 60611
General Phone: 312/943-7200
Reservation Phone: 312/943-7200 |
