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REGISTRATION INFORMATION

  • Early Registration Discount for Hospital Council members:
    Register by July 31, 2004 and pay just $375. After July 31, the regular registration rate of $425 applies.
  • Registration will not be processed without payment

How to Register

Mail the registration form and payment to: For payment by credit card only,
2004 Hospital Council Health Care Summit fax the registration form to:
1215 K Street, Suite 730 (916) 552-2618
Sacramento, CA 95814 OR register online here

Cancellations and Refunds
Cancellations must be made in writing to the address or fax listed above. A full refund will be given for cancellations received on or before August 20, 2004 only. Cancellations received after August 20, and non-attending registrants, are responsible for the full registration fee. Substitutions are encouraged. Payments not received on or before September 1, 2004 are subject to a 10% late fee.

Additional Notes

  • Your registration fee includes Thursday lunch at The Fairmont Hotel and dinner at Teatro ZinZanni
    (free transportation to the dinner is included).
  • To play in the golf tournament, you must check the golf tournament box on the registration form and pay the additional fee. Golf is not included in the registration fee.

REGISTRANT INFORMATION
*Full Name
Name on Badge
*Title
      
*Organization

$375 Member Early Bird
(by July 31, 2004)

$425 Member
after July 31, 2004

$650 Non-Member

 $175 Spouse/Guest
Name

# of children ($50/Child - Ages 0 - 16)       1   2   3

Name(s)

$125 Golf Tournament
(Wednesday) 

Handicap:

Special Meal
Requirements


AMERICANS WITH DISABILITIES ACT: If you require special accommodations pursuant to the Americans with Disabilities Act, please call 888-326-6951.

To download a Summit Registration Form in PDF format, CLICK HERE

Download Adobe Acrobat Reader to read and print PDF files.
Please CLICK HERE