NAHDO In-Person Workshop Registration
登入 Google 即可儲存進度。瞭解詳情
電子郵件 *
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?
清除選取的項目
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
系統會透過電子郵件將你的作答內容複本傳送到你所提供的地址。
提交
清除表單
請勿利用 Google 表單送出密碼。
這份表單是在 National Association of Health Data Organizations 中建立。 檢舉濫用情形