Education Program On-Line Registration

Healthcare Financial Management Association

Education Program Registration

On-Line Registration

Please complete the form below by Friday August 22, 2008

Please Note:
Once we confirm your registration, you will be considered registered for the upcoming program. Paid and unpaid program cancellations must be made three days prior to the meeting to receive a refund or to avoid being billed for program costs.

Make your check out to "NE Ohio HFMA" and mail to:

Kathy Much
27910 Osborn Road
Bay Village, Ohio 44140-2009

Phone: (440) 835-1186
muchness1@att.net

Please fill out the form and press the Submit button to request
registration for the NEO HFMA

Volunteer Appreciation Program

Thank you for choosing HFMA for your educational needs.
We will confirm your registration request shortly.

	(Member program only $65 - w/golf $380; w/spa $185)
Member:				Title:
Golf or Spa	Golf	Spa	Program only
	(Non-member program only $90 - w/golf $450; w/spa $245)
Non-Member				Title:
Golf or Spa	Golf	Spa	Program only
Organization Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone:
E-Mail:*
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Changes last made on: Janaury 17, 2006

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