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make an additional purchase?
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Online registration will
close on
Monday, June 16th.
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Thursday and Friday
2-Day Full
Registration
Package:
Educational
Sessions, Exhibits,
Continental
Breakfasts, Thursday
Luncheon, Thursday
Buffet/Cocktail
Reception, and
Friday Brunch
Thursday Only with
Buffet/Cocktail
Reception
Educational
Sessions, Exhibits,
Continental
Breakfast, Thursday
Luncheon, and
Thursday
Buffet/Cocktail
Reception
Thursday Only without
Buffet/Cocktail
Reception
Educational
Sessions, Exhibits,
Continental
Breakfast, and
Thursday Luncheon
Friday Only
Educational
Sessions, Exhibits,
Continental
Breakfast, and
Brunch
Students
2-Day Registration
Package:
Educational
Sessions, Exhibits,
and Continental
Breakfasts
Volunteer: I
do want to
volunteer!
What
date/times are you
available to
volunteer?
Receive a
complementary meal
ticket if you
volunteer for four
hours during the
meeting. Thursday
volunteers will
receive a lunch and
reception ticket,
Friday volunteers
will receive a
brunch ticket.
(Do not purchase
meal during the
shopping cart
process after you
select "continue
with payment"
below.)
Registered Exhibitors
Exhibitors Attending
Sessions for CE
Credits (No Meals)
Exhibits Only
One
Day
Additional Meal Purchase
Thursday
Luncheon ($45)
Thursday
Buffet/Cocktail
Reception ($80)
Friday
Brunch ($60)
Note:
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Are you
interested in making a
donation to the NJHIMA
scholarship fund? You
will be recognized in the
annual meeting program.
Yes
No
If you register for the
Thursday and Friday registration or the Thursday Only with
Buffet/Cocktail Reception, the Thursday Evening
Reception is included in your registration. However, you must
select
one of the options below.
It is important
that you enjoy the meeting. If, due to a
food allergy or a disability, you have
special needs or requirements, please let us
know below.
Also, Hearing
Helper is available upon request for all
sessions. Let us know if you would
like to request use of the Hearing Helper.
Refer to the
program agenda and
select the
breakout sessions you
plan to attend.
(The program agenda is
subject to change.)
Thursday, June 19th
11:00-12:00
3:45-4:45
Friday, June 20th
8:30-10:00
1:20-2:30
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| I have reviewed and
acknowledge acceptance of the
terms and conditions which includes
the cancellation policy, insufficient
check funds policy, exhibitor
agreement, and the credit card
terms and conditions. |
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Do you
have a question or comment?
Please
enter below and we will contact you. |
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If you would like a copy of
this completed registration form,
please print a copy before you select
"continue". All registrations must be prepaid by credit card or check. NJHIMA reserves the
right to refuse walk in registrations or limit attendance at sessions or meal
events without proof of registration.
Payment options include:
Credit card
 
and check

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