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32nd Annual Health Care
Roundtable Seminar
  Wednesday, October 06, 2010
Hyatt Regency Wichita
400 W. Waterman
Wichita, Kansas
 Pre-Registration

Please take the time to give us your e-mail address and how many in your party will be attending,
so that we can better prepare for the conference.

NumberAttending:
  		Address:    
Name:       
   		 Street:     
Work Tel:   
  		Apt/Suite:
City:       
 		 State:       
E-mail:        
  		Zip Code:
Please use the extra boxes below to give us information on your people that will be attending.

Name1:        E-mail1:       
Name2:        E-mail2:       
 Name3:       E-mail3:       
Name4:        E-mail4:       
Name5:        E-mail5:       
Name6:        E-mail6:  
Name7:        E-mail7:  
Name8:        E-mail8:  
Name9:        E-mail9:  
Name10:      E-mail10:


 
 
 
 
 
 


Registration Fees
Registration Fees (include lunch): $100 per person
6 CEUs plus 1 hour for ethics
(Insurance agents, human resources, and nursing hours will be available)
Registration Deadline: September 30, 2010
If you have any questions or concerns, please call Denise at 316-683-7557.
Refund Policy: If someone needs to cancel their reservations, we would ask them to find a replacement. If that is not possible, we will refund the fees to them up to five (5) days before the event.

Privacy Policy: The Sedgwick County Health Care Roundtable does not sell or distribute our members information to outside entities.