Privacy Summer Symposium

2008 Privacy Symposium

Please provide us with the following:
* indicates a required field

ATTENDEE/PURCHASER INFORMATION 1

First Name:	*
Last Name:	*
Name to Appear on Badge:	*
Title:
Place of Employment:	*
	Work Address Home Address
Address1:	*
Address2:	*
City:	*
Country:
Zip:	* State: *
Phone:	* Ext:
Fax:	*
E-mail:	*

REGISTRATION/PURCHASE INFORMATION

- PRECONFERENCE REGISTRATION -

Please register me for Preconference

Please Choose from the following:

$ 495.00
Preconference I - Privacy Symposium Privacy Certificate Program Training

$ 595.00
Preconference II - HIPAA Academy CHP, CHSS AND CHA Professional Certification Training

$ 595.00
Preconference III - Health IT Certification CPEHR/CPHIT/CPHIE Professional Certification Training

- SYMPOSIUM REGISTRATION -
(Does not include Preconferences)

Please register me for the Conference at $ 1,595.00

CONCURRENT SESSIONS/TRACKS

Choose one for each time slot:
Wednesday, August 20, 2008 8:00 AM
HIPAA Morning Track I	HIPAA Morning Track II	Privacy Symposium Plenary Session
1:30 PM
HIPAA Afternoon Track I	HIPAA Afternoon Track II	Privacy Afternoon Track I	Privacy Afternoon Track II	Privacy Afternoon Track III	Privacy Afternoon Track IV

- MULTIMEDIA -
(must be purchased at the time of main conference registration)

Symposium DVD-ROM - $ 145.00

Symposium Flash Drive - $ 145.00

Symposium Video iPOD™ Nano - $ 295.00

- PRIVACY CERTIFICATE PROGRAM -
(does not include the preconference session)

Post conference online examination for Privacy Certificate Program - $ 295.00

Enter optional registration code here:
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Contact Information
Phone: (800) 684-4549 (Continental US, Alaska & Hawaii only) (775) 537 2311 (Outside US)
E-mail: registration@hcconferences.com
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