Mississippi Independent Nursing Home Association - Summer Conference 2010 Registration

Mississippi Independent Nursing Home Association
"Beyond The Horizon"
Summer Conference 2010

JUNE 2 – 4, 2010

The Beau Rivage Resort & Casino

Biloxi, Mississippi

REGISTRATION

Name:*

Address:*

City:*

State:*

Zip:*

Email:*

Phone:*

Please check the appropriate certification:

Nursing Home Administrator

Activity Professional

Physical Therapist/Physical Therapy Assistant

Registered Nurse

LPN

Other

REGISTRATION FEE:

Full Conference: June 2-4, 2010

$400.00 (Package includes: Seminars, Lunch Wednesday, Breakfast each day, Dinner Thursday)

Wednesday, June 2, 2010

$300.00 (Package includes: Full day Seminars, Breakfast, Lunch and Dinner)

Guest Tickets for Dinner Wednesday:

$75.00 per Guest

Name of Guest(s):

* Indicates required fields

Hotel Accommodations:

Hotel accommodations for the Independent Nursing Home Association 2010 Summer Conference provided by The Beau Rivage Resort and Casino located in Biloxi, Mississippi. Guest Rooms are available to INHA attendees at the rate of: $145.00 + tax. All reservations must be made on or before May 10, 2010 for the conference rate, after the cutoff date accommodations will be at the current rate, subject to availability. Please call (888) 383-7037 for reservations and identify your affiliation with INHA.

Please send completed registration form with payment to:

Independent Nursing Home Association

Riverhill Tower

1675 Lakeland Drive, Suite 202

Jackson, MS 39216

Mississippi Independent Nursing Home Association"Beyond The Horizon"Summer Conference 2010

REGISTRATION

Mississippi Independent Nursing Home Association
"Beyond The Horizon"
Summer Conference 2010