Registration Form

Please be advised that your event registration will be reviewed and completed within 24 to 48 hours. At that time, you will receive a detailed confirmation letter of your registration and in a separate email, your username and password will be emailed to you for future use with the HFMA web site.

Member Information

Member ID


Please complete this online registration, noting that required fields are preceded by an Asterisk (*). When finished, please click on the "Buy Now" button located at the bottom of the form.

Contact Information:

*First Name:   
*Last Name:   
HFMA Member ID:   
Title:  
Organization:  
* Street Address Line 1:  
Street Address Line 2:  
* City:  
* State:  
* Zip:  
Country:  
Phone #:       ext.
Cell Phone #:   
*Email Address:   

COURSE SELECTION

Please select the course(s) you will be attending.


Registration Fees

RREG-The Value Summit
HFMA's The Value Summit 2014
  Member  Non-Member  
  $2,995.00 $2,995.00  
 

 

PAYMENT INFORMATION 

*Total Anticipated Cost
     

Enter Source Code:

A source code is a standard tracking code that helps us identify which solicitation you received. How to find your source code?
  Or if you do not have a source code, tell us how you heard about this event?

  

***If you are paying by check please print out this page and send it with your payment to HFMA, Dept. 77-6063, Chicago, IL 60678-6063. Make your check payable to HFMA. Or fax the form to 708-531-0665 (credit card registrations only).
If you have to cancel, a refund of the registration fees (less a $50 processing fee) will be granted if cancellation is received at least 10 days prior to the event date. Subsequent cancellations received before the date of the program may be issued an HFMA National Credit Certificate (less a $50 processing fee). Credit Certificates are good toward a future HFMA National educational program or selected products. Substitutions are permitted. Cancellations must be submitted in writing by fax (708) 531-0665 or by mail.