Thomas Jefferson University - Department of Health Policy

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College for Advanced Management of Health Benefits Registration

In order to maintain the individualized focus of the College, enrollment is limited so register as soon as possible. Please fill out the form below to register for one of the 2008 programs.

(* Required)

Program*	September 15-18 - Washington, DC
First Name*
M.I.
Last Name*
Preferred Name for name badge*
Degree(s)
Personal Title*
Job Title*
Corporation/Institution*
Department
Mailing Address*
City*
State*
Zip*
Telephone*
Facsimile
E-mail*
Registration fees include the four day program, meeting materials, breakfast, lunch, and snacks each day. Coalition member: $1,400 (at least four weeks before program) or $1,600 (within four weeks of program) Non-coalition member: $1,600 (at least four weeks before program) or $1,800 (within four weeks of program) Payment must be received at least 10 days prior to the first day of the program.
Check	Purchase Order #
Make Checks Payable to: College for Advanced Management of Health Benefits mail to: CAMHB, Jefferson Medical College 1015 Walnut St. Suite 115 Philadelphia, PA 19107. *If you wish to pay by credit card please contact Valerie Pracilio at valerie.pracilio@jefferson.edu or 215-955-0093.

Member of a business coalition? YES NO
Coalition Name

If no, join today and receive $300 toward your registration. Call 202-775-9300
for more information.

Questions or Special Needs? Please call 215-955-0427 or email neil.goldfarb@jefferson.edu

Cancellation Policy - In the event you are unable to attend, the registration is transferable to an individual within your institution who meets the criteria for matriculation; or, you may defer your participation to a future college course offering.

DISCLAIMER: Your registration information will not be shared or used for promotional purposes.

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The Thomas Jefferson University web site, its contents and programs, is provided for informational and educational purposes only and is not intended as medical advice nor is it intended to create any physician-patient relationship. Please remember that this information should not substitute for a visit or a consultation with a health care provider. The views or opinions expressed in the resources provided do not necessarily reflect those of Thomas Jefferson University, Thomas Jefferson University Hospital, or the Jefferson Health System or staff.
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