2013
Annual Conference
Embracing Culture Change in Long-Term Care:
Spotlight on Best Practices
Tuesday,
October 8th, 2013
8:00 am - 4:30 pm
Crowne Plaza, Monroe Twp, Exit 8A NJTP
Conference Fees:
Physicians, Nurses, Nurse Practitioners, Director of Nursing, Medical
Directors, Administrators, Pharmacists, Dietitians, Social Workers and
Other Healthcare Professionals .......$125
First Name
Last Name
Title
Credentials
Facility
Affiliation
Facility
Address
Facility
City/St/Zipcode
Facility
Phone
Home/Billing
Address
Home
City/St/Zipcode
Home Phone
E-Mail
Fax Number
Credit Card
Number
VISA/MASTER/AMEX
CARD ONLY
Expire Date
(MM/YY)
Cardholders
Name
DO
NOT INCLUDE MY INFORMATION IN CONFERENCE JOURNAL
PROMO
PRE-REGISTRATION
-- $100
REGISTRATION
- $125
Special
Diet Restrictions
NOTE:
Credit Card Charges will not be placed without a phone
confirmation from our event coordinator!
Please note that Credit Card Charges
will appear on your monthly statement as billed to:
Creative Care Consulting, LLC, DBA OPT Communications
136 Central Avenue, Clark NJ 07066 - PHONE: 732-574-9434
OPT Communications is the Event
Management Coordinators for
New Jersey Long-Term Care Leaders Coalition
email: info@optcommunications.com
for additional information of the NJLTCLC