REGISTER - 12/2 AHA Health Care Leader Roundtable in Austin, TX

Thank you for your interest in our AHA Solutions Health Care Leader Roundtable:

THIS EVENT HAS BEEN CANCELLED AND WILL BE RESCHEDULED FOR SPRING 2011. PLEASE REGISTER BELOW TO RECEIVE UPDATED INFORMATION.

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* 1. Register here for the Health Care Leader Roundtable:

Yes, I will attend. Please reserve my space at this event.

I may attend. Please contact me with further event details.

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* 2. Please enter your complete contact information below.

Name

Title

Organization

Address

City

State

Zip Code

Phone

E-mail

Assistant Name

Assistant Phone

Assistant Email

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* 3. If you plan to bring a colleague, please enter their name below.

Name

Title

Organization

Email Address

Phone Number

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* 4. Please contact me regarding hotel accommodations

Yes

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* 5. Are there any specific issues you would like to raise for discussion amongst your peers? To help us plan the discussion, please list the challenges you would like to address.