20th Annual Leadership Summit Registration

Online Registration (credit cards only)
Click here to register online.

Registration by mail (checks or wire transfers only)
Click here to download the registration form.

Registration Rates
Registration includes admission to educational sessions, Welcome Reception and Gala, two continental breakfasts and a lunch in the exhibit hall.

	Member*	Non-Member
EARLY BIRD Registration (register by June 1, 2012)	$995	$1,095
REGULAR Registration (register after June 1, 2012)	$1,095	$1,195
*Member affiliations: AHA, Center for Healthcare Governance, CHIME, AONE

Fourth Team Member Free
Register three people from the same organization for the Summit and the fourth registration is complimentary. To qualify, all registrations must be submitted at the same time.

Cancellations
If you cannot attend the Leadership Summit, you can send a substitute, even at the last minute. If you must cancel entirely, your request for a refund — minus a $250 processing fee — must be made in writing to clang@healthforum.com no later than June 29, 2012. Cancellations made after June 29 are not eligible for a refund.

Registration Questions
For questions regarding your registration, contact Registration Control Systems at leadershipsummit2012@rcsreg.com or 805–677–4296. Registrations will not be accepted over the phone.