HealthcareWebSummit events from MCOL 

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  HealthcareWebSummit Registration
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   Registration Form  
Your registration is subject to the HealthcareWebSummit Terms of Use and Privacy Policy (click to review)
Registration covers one phone line/login unless site licenses are arranged. Refer to terms of service for details.  Attendees also receive a complimentary MCOL Basic membership with their registration for any Healthcare Web Summit event.

First Name   Last Name  
Mailing Address 
City State    Zip       
Phone                   Fax  
Cell/Mobile  For webinar reminders/login info; if applicable to your event
Discount Code   (Enter discount code here - MCOL Premium members: enter "MCOL")
How did you hear about the event(s) you are registering for (check all that apply)?
  A. MCOL e-mail to me   B. Third-Party e-mail to me   C. E-mail forwarded to me   D. Postcard
 E. Referred by colleague F. LinkedIn  G. Web Search H. Web Site Ad/Announcement  I. Other:
 Healthcare Web Summit Events You're Registering For:
2018 Predictive Modeling Web Summit
   Thursday, July 12th, 2018
Webinar Only  $295.00 / MCOL Premium Member Price: $147.50
Webinar + Recording  $340.00 / MCOL Premium Member Price: $170.00
2018 Accountable Care Web Summit
   Thursday, November 8th, 2018
Webinar Only  $295.00 / MCOL Premium Member Price: $147.50
Webinar + Recording  $340.00 / MCOL Premium Member Price: $170.00
 Payment Information:
Payment by check (U.S. only) We will invoice you (payment must be received in advance of summit)
Credit Card:
Credit Card:  American Express Discover MasterCard Visa 
Card Number: Expires
  Security Code (Where is my security code?)
Name on Card:
  Address to which the card is billed if different from the contact address above:
  Street Address:    Zip:


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HealthcareWebSummits from MCOL   
1101 Standiford Ave. Suite C-3 Modesto, CA 95350
Phone 209.577.4888  | e-Mail  |  Fax 209.577.3557
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