Leading Home Care
Home Health & Hospice Business Builders Workshop
San Antonio, Texas
September 15-17, 2010

Home Health & Hospice Business Builders Workshop
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REGISTRATION FEES:
**** $1,250 per person Early Bird Registration
**** $1,450 per person after August 16, 2010

Registrations received after August 16, 2010 are based upon availability.
 

ATTENDEE INFORMATION
 
* indicates required
* First Name:
* Last Name:
* Company Name:
Job Title:
  Mailing Address
* Address:
* City:
* State:
* Zip:
* Phone #:
Alternate Phone #:
Fax #:
* Email:
 

HOTEL ACCOMMODATIONS:
Include hotel accommodations: Yes  No
 
Omni La Mansion Del Rio
112 College Street
San Antonio, TX 78205
Room rate is $155.00 plus 16.75% tax, single or double occupancy
* Arrival Date: (i.e. 9/14/2010)
* Depart Date: (i.e. 9/17/2010)
Room Type Request: Single   Double/Double
Roommate Name:

For more information or if you have questions, call 800-368-4052 and mention that you are attending the Leading Home Care Home Health & Hospice Business Builders Workshop. The hotel will not accept reservations directly.

 

CONFERENCE REGISTRATION PAYMENT:
* Please select a payment type:  
     My check is enclosed (made payable to Visitours)
     Visa   Master Card   Discover   American Express  
* Cardholder Name:
* Card Number:
* Expiration Date:
* Security Code:

 

The security numbers that we ask for are the numbers printed on the back of your credit card on the signature strip, towards the top and right of the strip (please see the picture below). There are between three and ten digits. We only require the last three.

Mastercard & Visa have introduced this system to provide greater levels of security to protect the customer. The security numbers are separate from the embossed numbers and from those contained in the magnetic strip. This means that you need to have the physical card to know the number.
Total Registration:
$1,250.00


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1939 Goldsmith Lane, STE 100 | Louisville, KY 40218 | Ph: (502)456-2774 Toll Free: (800)368-4052