Registration

To attend the Bergen County Practice Manager Lunch & Learn/Expo you must be a healthcare provider, executive or practice manager. The educational topics and information presented are of most interest and relevant if you meet this criteria. Since limited seating is available and we have ongoing communications and newsletter subscribers with members of the healthcare community, we can only accept attendees by invitation only. If you wish to attend the event, meet the criteria, and do not have an invite, please do submit the registration form and enter INV00 in the invite code. We will add you to the waiting list and accommodate you if seating is available no later than 9/16.

How to Register

Register Online
Please fill out the form on the left to register online and reserve your seat. Please expect to receive e-mail confirmation within 24 hours.

Register by Fax
Print off a copy of the Registration Form (PDF file) and fax your completed form. Please expect to receive an e-mail confirmation within three to five business days of receipt of your form.

Registration Deadlines

September 17, 2015

Affiliate Member Of

Bergen County Practice Manager Lunch & Learn/EXPO www.PracticeManagerExpo.com

Yes! I Want To Register For This
FREE Lunch & Learn/Expo

This FREE event for healthcare executives and medical practice managers is by invitation only. If you do not have an invite, please enter invite code INV00 and we will add you to the waiting list and contact you no later than 9/16 to confirm if seating is available.

First Name
Last Name
Invite Code If you wish to attend the event and are a practice manager
or healthcare executive but haven't received an invite,
please enter INV00 in the invite code. We will add you to the waiting list and
accommodate you if seating is available no later than 9/16

If you wish to attend the event and are a practice manager
or healthcare executive but haven't received an invite,
please enter INV00 in the invite code. We will add you to the waiting list and
accommodate you if seating is available no later than 9/16

Lunch Company
Affiliation
Title
Your Role
Address
City
State
Zip
Email
Phone
# of computers

Enter characters below:

I understand this is a FREE event with lunch and other materials provided at no cost to me. I will notify organizer within 1 week if I encounter a scheduling conflict and am unable to attend. Registration implies consent that pictures or video taken during the event may be used for event coverage and promotional purposes without compensation.