Yes! I would like to register for the conference.		Early Bird Price: $795.00
To ensure you are billed for only one conference, please select only one of the following options:

		I am more MDS focused
		I am more Long-Term Care focused

Add Workshop(s):

Pre-Conference Workshop Sunday, July 8th 1:00 pm - 5:00 pm.	Price: $200 EACH
You may choose only 1 pre-conference workshop:   Developing a Quality Management System   Complex New Quality Measures/Quality Indicators Pain Assessment & Management
Post-Conference Workshop Tuesday, July 10th 12:30 pm - 4:30 pm.	Price: $200
The Key to Successfully Changing Long Term Care Culture is in Your Staff's Hands

Name Badge Information
Please enter your information below exactly how you would like it to appear on your name badge.

Name: Credentials: Organization: City, State:

Hotel Reservations
A special rate of $99 per night plus tax at the DoubleTree Hotel at the entrance to Universal Orlando has been arranged for the Eli Healthcare Delegates. If you would like assistance in making your reservation, please fill out the information below. The DoubleTree Hotel will contact you directly to guarantee the reservation and payment.

Enter your Check-in, Check-out Dates, as well as
King or Double for Bed Type
Check-In Date: Check-Out Date: Bed Type:

*Please note that your accommodations are not guaranteed until the DoubleTree Hotel contacts you directly to confirm. If you would like to contact the hotel directly, please call 1-800-222-TREE and mention the Eli Healthcare for the discounted rate.

Conference Materials
Take the information home with you! If your colleagues cannot attend, you can bring the education directly to them. It is a MUST have for any practice.

Please insert a quantity in the box provided for each item you would like to purchase..

Document Book

Price: $125.00 ea.

MDS & Long-Term Care 2007 Document Book

Conference Extras

		Conference Tote Bag - $15.00
		SuperCoder T-Shirt - $16.00
		Mouse Pad - $10.00

*Please note that attendee at the conference receive a complimentary tote bag and mouse pad

Cancellation policy:
Please notify us in writing 10 business days before the event start date if, for any reason, you should be unable to attend. A credit voucher equivalent to the amount you paid will then be issued or, if you prefer, a full refund less a $100 non-refundable administrative fee will be given. For cancellations received fewer than 10 business days before the event start date no refunds or credits will be given. Your registration may be transferred to another individual at any time, but please notify us in writing. When registering, please indicate whether you qualify for a discount. No discounts can be combined. The Eli Healthcare does not accept responsibility for covering travel, accommodation or any other costs incurred by registrants should this event be cancelled for any reason. The event program content is subject to change without notice.