Please complete the following online registration form for our Thursday, March 17, 2016 Keystone AAHAM Winter meeting, at the Penn National Conference Center, Grantville.

After submitting your registration form, please wait for submission confirmation and payment options. (You may also click on "printable version" button above for agenda and additional information).

Cost:
AAHAM Member $75.00
HFMA Member $75.00
NAHAM Member $75.00
Non Members $100.00

Name of Hospital, Company or Organization *
Name of Attendee *
First Last
Email *
Chapter *

(Keystone/NE/Phila/etc.)
Membership *

AAHAM

HFMA

NAHAM

Non-Member
Payment Method *

Mail Check

Pay Online with Credit Card

(See payment details after submission.)
I would like to take the difference in the non-membership fee and use this towards a new Local Membership.

Yes

No

(Option applies ONLY to Non-Members who wish to join Keystone AAHAM)
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