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Registration
Registration
Register for the 31st National Symposium for Healthcare Executives.
There are three easy ways to register for the National Symposium:
Fill out the on-line registration form below and pay electronically by credit card.
Click here
to download the registration form and return via fax (205) 975-6608 or mail with payment
Call to register - Sara Patterson (205) 934-1672.
Make checks payable to UAB Department of Health Services Administration. Accepting Visa, MasterCard, American Express and Discover.
Note to students: You will receive special registration information from your program.
First Name (*)
A value is required
Last Name (*)
A value is required
Title (if abbreviating, please do not use a period) (*)
A value is required
If abbreviating, please do not use a period.
Preferred Name
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Organization
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Address 1 (*)
A value is required
Address 2
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City (*)
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State (*)
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Zip (*)
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Phone (*)
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Fax
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Email (*)
A value is required.
Are you a UAB Alumnus/Alumna?
Yes
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Please indicate special needs due to a disability
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REGISTRATION FEE
Select one of the options below - please note that the registration fee is discounted for registrations received before July 10
Registration (*)
Sym.+ACHE Seminar (Wed-Fri): $1100.00
(before Jul 10)
Sym.+ACHE Seminar (Wed-Fri): $1200.00
(after Jul 10)
ACHE Seminar Only (Wed): $625.00
(before Jul 10)
ACHE Seminar Only (Wed): $725.00
(after Jul 10)
Symposium Only (Wed dinner-Fri): $800.00
(before Jul 10)
Symposium Only (Wed dinner-Fri): $900.00
(after Jul 10)
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The one day ACHE seminar has a limited enrollment that will be based on the earliest registration dates. The ACHE registration fee includes lunch and a continental breakfast.
The Symposium registration fee includes a continental breakfast and lunch on Thurs. and Fri., Wed. evening reception and dinner, and Thurs. reception.
Please call (205) 934-1672 to receive
discounted rates
for additional members of the same organization. Team discounts are not available for those attending the ACHE seminar only.
Pay By (*)
Mail
Credit Card (Online)
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If paying online, you will be redirected to a new page to enter credit card information.