Pre-Registration for the 14th Annual Conference

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

 

[FrontPage Save Results Component]
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

For additional information contact
Maureen Ziegler at Ext 105 or
email at mziegler@optcommunications.com

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