"Sharing Knowledge

Making Valuable Connections"

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ONLINE REGISTRATION FORM

Third Annual

Southwest Healthcare

Transactions conference

Successful Strategies for Mergers, Acquisitions, Divestitures, and Restructurings

May 5-6, 2010

The Adolphus Hotel - Dallas

 

 

Steps to Register ::

 

1. Complete Registration Form and Payment Type

 

2. Submit the Form

 

3. Continue to Online Payment if paying with credit card

 

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1. Complete the Registration Form

Required Fields *

Prefix*: Mr.        Ms.

First Name*:           Mid Initial:        

Last Name*:          

Title/Position:   

Company Name*:     

Address*:     

                      

City*:         State/Province*:        

Zip/Postal Code*:     

Country:   

Telephone*:     

Fax*:     

Email*:     

RSVP For the Following Conference Events:

Cocktail Reception & Awards Dinner on Wednesday, May 5 at 6:00 PM     Yes        No

Luncheon on Thursday, May 6 at 12:00 Noon

      Yes        No

 

Note: Please indicate any food allergy or special meal requests (i.e. kosher or vegetarian)  in the Comments box at the end of the form. 

 

Conference Fee - Select one:

     May 5-6 Southwest Healthcare Conference - $695.00 (Cocktail Reception and Meals included)

      May 5-6 Southwest Healthcare Conference Provider* Discount - $595.00 (Cocktail Reception and Meals included)

*Healthcare Provider discount applies to Physicians, nurses, executives and employees of hospitals, clinics, imaging centers, nursing homes, etc.

INDICATE Payment Type:

    Bill my company

    (If you do not receive a confirmation within 24 hours, please contact us.)

    Sending a Check by Mail

    (Please make check payable to Renaissance American Management, Inc.)

    Credit Card

    (We Accept Visa, MasterCard, and American Express.)

   

    Other (Please specify in Comments Box)

 

Comments:

2. SUBMIT THE FORM: CLICK  "Submit Registration" above

Cancellation Policy: All cancellations for the Southwest Healthcare Transactions conference will be subject to a $100 administration fee. In order to receive a prompt refund, your notice of cancellation must be received in writing (by letter, fax, or email) fifteen (15) business days prior to the conference. We regret that refunds will not be issued after April 14, 2010. The registration may be transferred to another member of your firm for this or any future Renaissance American Management, Inc. conference within 13 months. If you plan to send a substitute in your place, please notify us as soon as possible so that materials and preparations can be made. In the unlikely event of a conference cancellation, Renaissance American Management, Inc., Beard Group or Health Industry Council of the North Texas Region assume no liability for non-refundable transportation costs, hotel accommodations or additional costs incurred by registrants.