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Registration Form
The 2010 Alabama Association of Health Plans Annual Conference
July 18-20, 2010
CONFERENCE REGISTRATION FEES
Before
June 15th
After
June 15th
AAHP Member Company
$ 350.00
$ 450.00
AAHP Non-Member Company
$ 450.00
$ 550.00
Spouse
$ 95.00
$ 95.00
Golf Tournament Fee
$ 85.00
$ 85.00
We have arranged a room block which must be reserved by June 15th to assure availability and special conference rates. Please arrange for your accommodations directly through the conference hotel, either by phone at 800-544-9933, or by accessing their website by
clicking here
- in either case, be sure to confirm that you are registered as an AAHP Annual Conference attendee.
Thank you for your registration and sponsorships. Please send your check for you registration and sponsorships to:
Alabama Association of Health Plans P.O. Box 241694, Montgomery, AL 36124-1694.
First Name
:
Last Name
:
Company:
Address:
Address (continued):
City:
State:
Zip Code:
E-mail
:
Phone
:
Bringing a Guest
:
No
Yes
Guest's Name:
Will you be playing golf
:
No
Yes
Golf Shirt Size (golf players only):
Golf Handicap (golf players only):
Sponsoring Company:
Sponsorship Level:
Platinum
Gold
Silver
Notes/Comments:
© 2010 AAHP,
All Rights Reserved.