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2011 ACOA Oncology Update:
Achieving Excellence in the New Healthcare Era
June 22-24, 2011
American College of Surgeons Conference Center, Chicago, IL

To Register, you may either:
  • Call our offices directly at 847-759-8601
  • Mail or Fax 847-759-8602 a completed registration form with your payment
  • Complete the online registration form below with credit card payment

Registration Form Instructions:  Use tab key or click within box to advance to next question.

DO NOT USE "ENTER" KEY UNTIL READY TO SUBMIT FORM.

Please note: Your conference badge will reflect the information filled in below.

Required fields are in red

Email:
Name:
If Federal Sector:     Rank        Branch  
Designations:  
Badge Name:
Title:
Company:
Address:
              
City:   State:   Zip:    
Country: 
Phone:   Fax:

New Address?:    

Conference Registration Instructions: A selection must be made in each section for the form to be processed.

Full Conference Registration
includes Wednesday afternoon tour, continental breakfasts, Thursday lunch & all educational sessions
         Member,   $465 
         Non-Member,    $590*
* Non-members who register for the full conference at the non-member rate receive a complimentary 2011 AAMA/ACOA membership. To qualify for complimentary membership, registrant cannot have been an AAMA/ACOA member since 2008.
         YES, sign me up for a complimentary 2011 AAMA/ACOA membership!
 
  Not attending full Conference (proceed to Customized Conference Registration)


Customized Conference Registration: One Day Options
Non-Member registration for Thursday or Friday only does not include complimentary 2011 membership

      Thursday only
              Member,  $345      
              Non-Member, $395                      
        Not attending Thursday only
       Friday only
              Member, $215   
              Non-member,  $265   
        Not attending Friday only
Voluntary tax deductible donation to the AAMA Research & Educational Foundation:
Support excellence in healthcare administration  

Support excellence in healthcare leadership! The AAMA Foundation is exempt 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)        

Select Payment Type:

Pay Now with Credit Card
               Enter information below:
               Credit Card: 
                       (Please enter numbers only. No separators.)
              Credit Card #:  
              Expiration Date:    mm/yy
              First Name: 
              Last Name: 
         Billing address of cardholder:
               Street: 
               City: 
               State:    2 letter code
               Zip: 

         Registrations are not considered finalized until paid in full.
                

To register by mail, print this page and mail it with your check or credit card information to the address shown below.
Checks should be made payable to "AAMA Research & Educational Foundation".
Please remit to:
American Academy of Medical Administrators
701 Lee St
Suite 600
Des Plaines, IL  60016

To register by fax, print this page, indicate credit card information and fax to AAMA fax number 847-759-8602.

ACOA/AAMA CANCELLATION POLICY
 Cancellations must be received in writing by Wednesday, May 31, 2011, to qualify for a refund.   A $50 processing fee will be deducted.  All no shows will be billed.  After May 31, 2011, no refund will be provided.  Occasionally changes in the conference may be made due to speaker availability, participant demand or unforeseen circumstances.  While AAMA/ACOA will do everything possible to ensure participant satisfaction, AAMA's liability is limited to the registration fee only.


EARLY REGISTRATION IS ENCOURAGED
Don't forget your hotel reservation.  The hotel cutoff date is Wednesday, May 24, 2011!

Conference Hotel :
The Allerton Hotel on the Magnificent Mile
701 N Michigan
Chicago, IL

Conference Location:
American College of Surgeons Headquarters
633 N St Clair St
Chicago, IL

 

 

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