Registration Form - New England Society of Healthcare Strategy

FALL CONFERENCE Five Strategic Imperatives in 2011 and Physician Relationships for a New Era
Registration Form * All fields are required.	Thursday, October 14, 2010 8:30 AM The Conference Center at Waltham Woods 860 Winter Street, Waltham, MA


First Name *
Last Name*
Title*
Company*
Address*
City*
State*
Zip*
Phone*
Email*
Conference Fee *
Member of NESHS $95
Non-Members $150
Conference plus one-year NESHS membership $195 (Conference is included at this rate. Please complete Membership application: click here to download.)

Payment Method *	online (credit card) check (mail check)