ValuMetrix Events

October 19-20, 2010 | Orlando, Florida
Registration Form

REGISTRATION FEES

Registration fee includes session materials, continental breakfast, lunch, networking reception, and transportation to Florida Hospital Orlando Campus for Tour of ED and Pre-Op Depts.


Super Early Bird Discount
By September 1, 2010
SAVE 30% $695

Early Bird Discount
By September 15, 2010
SAVE 20% $795

Standard Registration
Deadline: October 4, 2010
$995



Group Discount
$100 discount per person for groups of two or more people from the same institution.

How to Register:

You can download the brochure and registration form, and mail with your payment, or you can use the form below to register online and make your credit card payment via PayPal's secure server.

Online Registration:

Step One

Enter your individual and corporate information, and make your event selections.

Breakfast, Lunch, and Tuesday evening reception are included in the registration fee. Please indicate any special dietary requirements.

Required fields are indicated with an asterisk (*).

Registrant Information:

Registrant One
Name*
Title
Phone*
E-mail*
Organization*
Street Address*
City*
State*
Zip*
Dietary Needs
Registrant Two
Name
Title
Phone
E-mail
Dietary Needs
Registrant Three
Name
Title
Phone
E-mail
Dietary Needs