May 25, 2013
Registration Form
 

ABHES Workshops & Meetings (August 2009)


Registration Information


Name:  
     
Institution:  
     
Address:  
     
City:   State:    
     
Zip Code:  
     
Telephone:   Fax:    
     
Email:  
     
Type of Applicant:  New/Interested Applicant  Renewal of Accreditation
   Evaluator  New Director/Position

If renewal, when does your current grant of accreditation expire?   2010    2011

Event Information


Please select from the following workshops and/or meetings that you plan to attend:

February 9-10, 2010
Initial Accreditation Workshop (9:00 a.m. to 5:00 p.m., Tuesday, February 9, 2010 - $500)
Renewal Accreditation Workshop (9:00 a.m. to 5:00 p.m., Tuesday, February 9, 2010 - $500)
Evaluator Training Workshop (8:00 a.m. to 12:00 p.m., Wednesday,
February 10, 2010 - No Fee)
Team Leader Evaluator Training Workshop (1:00 p.m. to 3:00 p.m., Wednesday,
February 10, 2010 - No Fee)
Revised Accreditation Manual Orientation Session (1:00 p.m. to 3:30 p.m., Wednesday,
February 10, 2010 - No Fee)

Note: The Annual Membership Meeting will be held following the RAM session from 3:30 p.m. to
5:00 p.m., Wednesday, February 10, 2010. All are welcomed to attend and there is no need to pre-register for the meeting.


June 7-8, 2010
Initial Accreditation Workshop (9:00 a.m. to 5:00 p.m., Monday June 7, 2010 - $500)
Renewal Accreditation Workshop (9:00 a.m. to 5:00 p.m., Monday June 7, 20100 - $500)
Surgical Technology Evaluator & Program Assessment (8:00 a.m. to 12:00 p.m., Tuesday,
June 8, 2010 - No Fee)
Evaluator Training Workshop (1:00 p.m. to 3:00 p.m., Tuesday, June 8, 2010 - No Fee)

Note: The Joint Accrediting Agency Reception will be held 5:00 p.m. to 7:00 p.m. on Tuesday,
June 8, 2010. All ABHES member institutions, programs, and workshop attendees are welcome to attend.

Payment Information


Pay with your credit card securely below.

Total: $500
   
Card Type: Expiration Date:  /
   
Credit Card Number:
   
Name on Card:
   
Billing Address:
   
City:
   
State: Zip: 
   
Billing Telephone: () -
   
  Please click the "Submit" button only once.

Disclaimer


Due Date: All workshops requiring payment must be received no more than 30 days from the date of the workshop! If post marked of faxed after the 30-day deadline, an overall $50 late fee will be assessed for each person. If registering within 45 days of a workshop, you must contact the ABHES office to inquire about availability. Register early, as space is limited.

Refund and Transfer Policy: If you enroll and have paid the workshop registration fee but cannot attend a workshop, your registration may transfer to another person or you may cancel, in writing, for a full refund at least 14 business days prior to the workshop. Workshop fees can also be credited toward a future workshop. No refunds will be made for cancellations made less than 14 days prior to the workshop.