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Tags: 3 ways, academic health center, admi, attendance list, badge name, bird registration, center integration, dietary restrictions, e mail, electronic confirmation, fairmont scottsdale princess, fairmont scottsdale princess hotel, institution address, meeting planner, registration fees, scottsdale az, shellfish allergies, sixteenth street nw, street nw suite, substitution policy,
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Created: Thu May 8 16:11:54 2008
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                                                                   2008 ANNUAL MEETING

                                                        Academic Health Center Integration
                                                                    October 16-18, 2008
                                                           The Fairmont Scottsdale Princess Hotel
                                                                       Scottsdale, AZ

                                               REGISTRATION FORM
  3 WAYS TO REGISTER:
  - Online at www.aahcdc.org (VISA and MasterCard accepted)
  - Complete and fax this form to Audra Franks, AAHC Meeting Planner at (202) 265-7514
  - Mail to: AAHC * 1400 Sixteenth Street, NW * Suite 720 * Washington, DC 20036

Early-Bird Registration fee (if received by Friday, August 15, 2008):    $675 [ ] Enclosed     [ ] Will be sent separately

Regular Registration fee (if received after Friday, August 15, 2008):    $795 [ ] Enclosed     [ ] Will be sent separately

Spouse/Guest fee:                                                        $180 [ ] Enclosed     [ ] Will be sent separately



Name (as you wish it to appear on attendance list)                                    Degree


Name (as you wish it to appear on badge)                                              Name of Spouse/Guest attending


Title


Institution


Address




Telephone                                                               Fax


Email address (please include your e-mail to receive electronic confirmation)

Do you or anyone attending with you require special accommodations, services or have any dietary
restrictions? (i.e., vegetarian, shellfish allergies, kosher, etc.):


                          Registration Form must be received by Friday, October 3, 2008.

Cancellation/Substitution Policy:
All cancellations must be submitted in writing via email to afranks@aahcdc.org or via fax to (202) 265-7514, no later than Friday,
September 12, 2008. Registration fees, less a $75 administrative fee, will be refunded for any cancellations received by
September 12, 2008. Refunds cannot be made for cancellations after September 12, 2008. There is no charge for substitutions,
no-shows will not be refunded.

Questions? Email Audra Franks at afranks@aahcdc.org or call (202) 265-9600.

For room reservations contact The Fairmont Scottsdale Princess Hotel directly at 800-344-4758 and request the AAHC rate of $259
(single/double occupancy); reservations must be made no later than Friday, September 12, 2008.