PHC Webcast Participation Registration

WEBCAST PARTICIPATION GROUP REGISTRATION

This registration site is for registering a group who are participating via theInternet webcast.
To register a group for onsite attendance, Click Here.

Webcast participation registration includes the live Internet feed from the conference as well as
six months of continued archived Internet access, available 24/7 for each person registered in this group.

Group Registration

Group of 5-9 Participants

Group of 10-19 Participants

Group of 20-39 Participants

Group of 40+ Participants

Check Here if you are registering the group and NOT attending the conference

Group Contact

Title

First Name

Last Name

Organization

Job Title/Position

Address

City

State

Zip Code

Address Country

Phone Number

Email Address

Group Payment Option

Pay for Entire Group with One Credit Card or Check

Invoice Individual Group Members

Group Members

Group Size

Please provide us with the following:

Title

First Name

Last Name

Suffix

Position

Organization

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone

Email Address

Check applicable box to purchase a subscription:

Accountable Care News Subscription at $295 FULL

Medical Home News Subscription at $295 FULL

Population Health News Subscription at $295 FULL

Predictive Modeling News Subscription at $295 FULL

Readmissions News Subscription at $295 FULL

Value Based Payments News Subscription at $195 FULL

Payment

If Invoicing Individual Group Members
Each Attendee Paying By Check
If each attendee (including yourself) is paying by check, choose "Pay by Check" option below. An invoice will be emailed to all attendees at the end of the registration process. In order to hold your reservation and to receive any early registration discount rate you may be entitled to, you must pay within two (2) weeks of registering.

Each Attendee Paying with Credit Card
If each attendee is paying by credit card, choose "Pay by Credit Card" option below and fill in the requested information for person #1 (the group contact person). The person registering will be charged their amount due now and you will receive a receipt by email confirming your registration and payment. The other attendees will receive an email with information how to pay for their registration by check or credit card.

If Paying for Entire Group with One Credit Card or Check
To Pay For Group By Check
Choose "Pay by Check" option below. An invoice will be emailed to you at the end of the registration process. In order to hold your group reservation and to receive any early registration discount rates, you must pay within two (2) weeks of registering.

If Paying for Group Online with Credit Card
Choose "Pay by Credit Card" option below and fill in the requested information. Your credit card will be charged the amount due. You will receive a receipt by email confirming your registration and payment.

Payment amount below is the amount due for Group Contact/Attendee #1 or the entire group amount due.

PHC Webcast Participation Registration - Group

Group Contact

Group Payment Option

Group Members

Terms and Conditions