Home > Activities > Education & Training > Financial Conference > Registration Financial Conference > Registration To register for the "Operating in the Rural Health Care Environment: Financial Survival Strategies" Conference, please complete one of the forms listed below: Use Registration Form 01 to pay offline by mail Use Registration Form 02 to pay online with credit card Download the printer-friendly Registration Form (PDF/130KB) Date & Time: January 16-18, 2007 Location: Radisson Hotel, Manchester, NH Questions: Contact Diane Maheux at (603) 524-3211 x6668 or , or Marion Pawlek at (603) 573-3377 or Registration Form 01 (Complete this form to pay offline by mail) * Required Registration Contact Information Full Name * Title * Organization * Mailing Address * City * State * Zip Code * Phone * E-mail * Registration Information Please Note: The lower member rate applies to members of NERHRT, the Bi-State Primary Care Association, and HFMA. January 17 (select one) Member: $115.00 Non-member: $130.00 Dinner Only: $30.00 January 18 (select one) Member: $115.00 Non-member: $130.00 January 16-18 (select one) Member: $200.00 Non-member: $250.00 Questions/Comments (Please list any dietary restrictions) To pay offline (by mail) Registration Form 02 (Complete this form to pay online with credit card) * Required Registration Contact Information Full Name * Title * Organization * Mailing Address * City * State * Zip Code * Phone * E-mail * Registration Information Please Note: The lower member rate applies to members of NERHRT, the Bi-State Primary Care Association, and HFMA. January 17 (select one) Member: $115.00 Non-member: $130.00 Dinner Only: $30.00 January 18 (select one) Member: $115.00 Non-member: $130.00 January 16-18 (select one) Member: $200.00 Non-member: $250.00 Questions/Comments (Please list any dietary restrictions) To pay online (credit card) to top Copyright ? New England Rural Health RoundTable ?? Design by SeaCoast Web Design