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Use the Form Below for Registration

INFORMATION ABOUT YOU
* Indicates required fields
* First Name: * Last Name: Credentials:
* Badge Name: Create a User Name and Password for accessing the online Evaluations and your CE Certificate.
* Username:  *Password: 
* Age:
* Gender:
* Race:
* Discipline:
* Workplace Type:
* E-Mail
* Work/Organization
* Work Address:
* City:
* State/Province: * Zip Code: *Country:
* Work Phone:
* Home Address:
* City:
* State/Province: * Zip Code: *Country:
* Home Phone:
Please check if you are the contact/primary presenter for a concurrent session. (This does not include poster presenters)
Please check if you are a Conference Monitor.
Please check if you are a University of Northern Colorado Nursing PhD student. (Discounted Registration Fee -$215 for full conference only)
 
MAIN CONFERENCE REGISTRATION OPTIONS
(You may choose more than one option)
Main Conference: July 15th, 16th and 17th , 2010 (does not include Pre-Sessions) $429 on/before June 19; $459 after June 19
1/2 day only Thursday July 15th (does not include Welcome Reception) $149 on/before June 19; $179 after June 19
Friday, July 17th only $280 on/before June 19; $310 after June 19
1/2 day only Saturday, July 17th $149 on/before June 19; $179 after June 19
 
PRE-SESSION REGISTRATION OPTIONS
(You may choose only one)
Pre-Session 1: July 14th PM & 15th AM $199 on/before June 19; $229 after June 19
Pre-Session 2: July 15th AM $149 on/before June 19; $179 after June 19
Pre-Session 3: July 15th AM $119 on/before June 19; $149 after June 19
No Pre-session selected
CONCURRENT SESSIONS
(See brochure for description of each session)
Thursday - Session 1: 3:00-4:00 PM
T4 T5 T6 T7 T8 T9 T10 None Requested 		 
Friday - Session 2: 7:30-8:30 AM
F11-Canceled F12 F13 F14 F15 None Requested 		 
Friday - Session 3: 11:00 AM –NOON
F16 F17 F18 F19 F20 F21 F22 None Requested 		 
Friday - Session 4: 12:30-1:30 PM
F23 F24 F25 F26 F27 None Requested 		 
Friday - Session 5: 4:00-5:00 PM
F28 F29 F30 F31 F32 F33 F34 None Requested 		 
Saturday - Session 6: 7:30-8:30 AM
S35 S36 S37 S38 S39 None Requested 		 
Saturday - Session 7: 9:00 AM-10:00 AM
S40 S41 S42 S43 S44 S45 S46 None Requested 		 
EXTRACURRICULAR ACTIVITIES (Optional)

Welcome Reception and Poster Presentations
I will be bringing guests. . There will be a $25 covercharge per guest.

Elsevier Education Training Event
I will be attending this event.

Please use the submit button to enter the above information. You will then be directed to a page to enter your payment information.

Note! Requires Knowledge of the Credit Card Billing Address. Supplying the wrong address information on a credit card will cause payment failure.

IF NOT REGISTERING ONLINE ADD $50.00 TO REGISTRATION FEE

  1. REFUND POLICY: Fee refunded, less a $50.00 handling charge, if canceled by the early deadline of June 19, 2010. No refunds after early registration deadline. Centennial AHEC reserves the right to cancel this conference and/or pre-sessions due to inadequate registration or unforeseen circumstances. All registered persons will be notified if cancellation.
  2. A link to our privacy policy – http://www.cahec.org/pdf/CAHEC_Privacy_Policy.pdf

    Registration Problems

    If you have any problems with the registration process please e-mail:
    dherman@cahec.org