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Seminar
Registration Procedure
I.
Select the Seminar
Select the Seminar(s) for which you wish to register. This is
done by checking the box under "Register" for each
seminar you wish to attend.
II.
Enter Information about person attending:
(submit a separate form for each person attending)
Name:
Business:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
E-mail:
For
"Last Minute Physician Compliance program:
List
Member Hospital medical staff membership:
Name
of Member Entity (if any):
(Required to get the WorkGroups
Member price. For more
information on becoming a member, click
here.)
III.
Select Payment Method
Our
check is being mailed to HPM, P. O. Box 66776, Baton Rouge,
Louisiana, 70896
Our
credit card information is being faxed for security to HPM at
225-765-7223.
Please
bill us at the above address.
IV.
Enter Additional Information (Optional)
Notes/Comments:
V. Submit the
Information
**it sometimes takes up to 30
seconds to process the form** |