NAHDO In-Person Workshop Registration
More info: nahdo.org/workshop
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Job Title *
Organization *
Work Phone *
Cell Phone
Breakfast and Lunch are included in the cost of your registration but we have to order and pay for them in advance. Which meals will you attend?
Any Dietary Requests?
Clear selection
Group Dinner
On Tuesday night, we are planning to organize group dinners for all attendees that want to attend.

We are exploring the option of a nearby urban dining hall that has an onsite brew pub and distillery and a variety of locally owned restaurants. Having individually owned food stands allowing guests to experience local flavors and cuisine that appeal to them without limiting the options of others in the group. Attendees would be on their own to choose options and pay for their meal but can sit together in a reserved space for networking.

We are also looking at restaurants within walking distance of the hotel that can accommodate groups of 8-10.
Are you interested in participating in a Group Dinner on Tuesday? *
Ticket and Payment Information
The cost of registration is $750 per attendee. Please indicate how you will be paying.

If you choose credit card, please use the PayPal link on nahdo.org/workshop within 24 hours to process your payment.
If you choose to be invoiced, you can pay by check or EFT. You will receive an email invoice within 2 business days, payable within 30 days or the start date of the conference, whichever is earlier.

Refunds must be requested in writing and are subject to a $35 processing fee.
Payment Method *
Special Instructions or Requests
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of National Association of Health Data Organizations. Report Abuse
Google Forms