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Summer Institute Registration

AAMA Summer Institute Registration
All registrants receive complimentary AAMA membership
through December 31, 2008

To Register, you may either:

  • Call AAMA directly at (847) 759-8601

  • Mail or Fax (847) 759-8602 your registration form

  • Complete the online registration form below

Entry Instructions: Use tab key or point mouse to advance to next question.
DO NOT USE “ENTER” KEY UNTIL READY TO SUBMIT FORM.

Your conference badge will reflect the information filled in below.

Where did you find out about this conference?    
                       
Email:
Name:
If Federal Sector:     Rank        Branch  
Designations:  
Badge Name:
Title:
Please list your specialty:                  

What is your title/level within your organization? Please select comparable position if your exact title is not listed.                            
What best describes your setting/organization?
If Other please specify:
If applicable, what is the bed size of your hospital/healthcare system?                           
Company:
Address:

City:        State:   
Zip:    Country: 
Phone:  Fax:
New Address?:    
Are you currently a member of AAMA?:    
If you are a new member, did an AAMA member encourage you to attend?
           Member Name:
 
Summer Institute Registration (August 2-3, 2007)
All registrants receive complimentary AAMA membership
through December 31, 2008
Early Bird Rates Extended to July 10

Registration Fee:         
Before July 16    
After July 16      

For 3 or more registrants from your organization
Before July 16    
After July 16       

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:

AAMA Foundation
701 Lee St., Ste. 600
Des Plaines, IL  60016

AAMA CANCELLATION POLICY
 Cancellations must be received in writing by July 19, 2007 to qualify for a refund. A $50 processing fee will be deducted. All no shows will be billed. After July 19, 2006, no refund will be provided. Occasionally changes in the conference may be made due to speaker availability, participant demand or unforeseen circumstances. While AAMA will do everything possible to ensure participant satisfaction, AAMA’s liability is limited to the registration fee only.

EARLY REGISTRATION IS ENCOURAGED

Headquarters Hotel:
 Hilton Suites Chicago – Magnificent Mile
198 East Delaware
Chicago, IL 60611
Reservations: 312-664-1100
For group rate, you must indicate AAMA Summer Institute
Website: Hilton Suites Chicago Reservations