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2025 NYS Care Management Coalition Annual Conference - GROUP Registration Form

The Coalition is pleased to offer the following discounts to same organization paid registrants. If your organization is sending over 10 registrants, please complete the form below.

REGISTRATION DISCOUNTS
10-15 Participants: One Complimentary Registration
16-25 Participants: Two Complimentary Registrations
26-39 Participants: Three Complimentary Registrations
40+ Participants: Four Complimentary Registrations per forty

An invoice for payment will be sent shortly after receipt of this form. Payment should be remitted AS SOON AS POSSIBLE and no later than the start of the conference.
1.Billing Contact Information(Required.)
2.I acknowledge that I am aware that payment must be received prior to the start of the conference.(Required.)
3.Number of Registrants(Required.)
Please share the full names and other information about the registrants on the next page.