Missouri Association of Healthcare Access Management

5/23/2017 Great Networking Opportunity!! MISSOURI ASSOCIATION OF HEALTHCARE ACCESS MANAGEMENT

MAY 23, 2017 MOAHAM CONFERENCE REGISTRATION FORM

September 21-22, 2017

Isle of Capri 100 Isle of Capri Blvd Boonville, MO 65233 (660) 616-4752

Name:______

Hospital______

Mailing Address______

______

Telephone______Fax______

Member______Non-Member______

Registration Fee: $ 100.00 for State Association Members MISSOURI ASSOCIATION OF HEALTHCARE ACCESS MANAGEMENT

MAY 23, 2017 $ 150.00 for Non-Members

Mail completed registration form and fee to:

Brenda Watson 411 Jennifer Lane Rogersville, MO 65742

Make checks payable to: MOAHAM

Registration fee includes (2) Breakfast Buffet and (1) Lunch - also Handouts and Copies of Presentations. If you have any questions, please contact::

[email protected] or 417-841-3903 [email protected] or 417-841-3901