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On-Line Registration Form
Outcome Concept Systems, Inc. presents
 
"OBQI & Performance Improvement Part II: 
Using Data & Automation to Implement OBQI"

Lunch and Learn Audio Conference
Wednesday, July 10, 2002 * 12:00 noon to 1:30 p.m., Mountain Time


Please complete all information below, then click the Send button at the bottom of the form to transmit your registration electronically to the HCAC office.

Be sure to review the Registration Policies before sending your registration.


Registrant Information

Agency/Company 
Contact Person

Address 

City, State, Zip

Phone
Fax 
Email 

Select one option below:
HCAC Provider Member      HCAC Allied Member      Region VIII
Other State Home Care Association Member

Registration Category
Please select one option below:

Total Amount Due
$

Payment Options
Please select one option below:
MasterCard
*       VISA *        Invoice to company (include mailing address above)

Cardholder name
Card number
Expiration

*A receipt will be mailed to the mailing address above.

Comments?

 


Registration Policies
You and an unlimited number of employees* can join in by calling an 800 number, entering a PIN number, then participating via speaker/conference phone. We will have live, interactive Q&A.

Please note: We are unable to accomodate more than one home care agency or company per call-in site.

Non-Colorado Region VIII guests are invited to register at the HCAC Member rate.

Cancellations & Refunds
All cancellations must be made in writing to the HCAC office, 7853 East Arapahoe Court #2100, Englewood, CO 80112-1361; fax (303) 694-4869; hcac@assnoffice.com.

Written requests for refunds received on or before Wednesday, July 3rd will receive a 50% refund; fees are nonrefundable after this date.

There are no refunds for not calling in.

Confirmation
Appropriate calling instructions will be e-mailed to participating agencies in time for the conference. Certificates of attendance will be mailed after evaluations are received.

 


Questions?
Please contact the HCAC Office: hcac@assnoffice.com
Phone (303) 694-4728, ext. 53                 Fax (303) 694-4869


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Home Care Association of Colorado
7853 East Arapahoe Court, Suite #2100, Englewood, Colorado 80112-1361

© Home Care Association of Colorado, 2002. All rights reserved.