National Association of Health Care Assistants

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Celebrating the Stars of Long Term Care

NAHCA /ACHP Annual Conference &
"Key to Quality" Awards Banquet

NAHCA Conference Registration
Registration Deadline - May 15, 2010

Members: $375 first registrant; $350 each additional
Register 5 attendees, 6th attendee registration is free (Members only)
Non Members: $400 First registrant; $375 each additional
Names are not needed at this time, so reserve your places early.
Registration includes all educational sessions and handouts, 5 meals, "Key to Quality" Awards Banquet ticket, convention tote bag, convention t-shirt and Oklahoma National Memorial & and Museum tour ticket for June 2, 2010.
Additional banquet tickets may be purchased for $50 by calling 1.800.784.6049

Hotel Accommodations
Renaissance Oklahoma City Convention Center, Hotel and Spa
Room Rates - $139 per night per room up to 3 occupants
4 occupants, $149 per night per room
Online reservations here

First Registrant Name:   T-shirt size:
Additional Name:            T-shirt size:
Additional Name:            T-shirt size:
Additional Name:            T-shirt size:
Additional Name:            T-shirt size:
Additional Name:            T-shirt size:
Banquet Only:                 Additional Banquet tickets needed: x $50 each               Total: $

Facility Name:
Address:
City:                            State:       Zip:
Phone:                    Fax:
Contact Name: Total # of Registrants: Amount Due: $
Email Address:

Payment Information (make checks payable to ACHP)
Payment Type: Check Discover Visa MasterCard
Card Number: Expiration Date:    CVW:
Name as it appears on card:
Billing Address: City: State: Zip:

SecurityMetrics for PCI Compliance, QSA, IDS, Penetration Testing, Forensics, and Vulnerability Assessment

Copyright 2009 | National Association of Health Care Assistants | 2709 W. 13th St. Joplin MO. 64801
Phone: 800-784-6049 | Fax: (417) 623-2230
www.nahcacares.org info@nahcacares.org