Health Information Management Association of New York City

Registration Fees

	Early Registration On or Before 5/2/08	Late Registration After 5/2/08
HIMANYC Member	$125	$135
Non-Member	$135	$145
Student Member	$60	$70
Senior Member	$50	$60

Registration fee includes continental breakfast and lunch.

To reserve seating, payment (check or credit card)
must be made prior to the meeting date.

Registration Form

* required information

*Registration Type	HIMANYC Member Non-Member Join today! Student Member Senior Member
AHIMA ID
*First Name
*Last Name
Credentials
Employer
Title
Email	I do not have email. Required to receive online eval and CE credits by e-mail. They will not be given out at the meeting.
*Phone
Opt Out	Do you want your contact information shared with attendees and exhibitors? Yes, you can share my information. No, do not share my information.
Questions or Comments
Acceptance of Terms and Conditions
I have reviewed and acknowledge acceptance of the terms and conditions which includes the cancellation policy, insufficient check funds policy, and the credit card terms and conditions. *

Payment options include: Credit card and check