Upcoming educational events for California Association of Healthcare Quality Members

The 2008 Healthcare Quality Overview and Certification Workshop Online Registration Form

Name:
Title:
Organization::
Mailing Address:
City
State	Zip This is my: Home Address Work Address

Please check here if you prefer NOT to have your name and contact information published in the Registrant List:
		Daytime Phone
e-mail address
Preferred session attendance: Jan 31- Feb 1, 2008 July 24-25, 2008 October 16-17, 2008
Nusing License #
Other License #
	ADA Requirements:
	Dietary Requirements:

Tuition
	CAHQ Member........................................................		$495
	Register and join CAHQ:
	February session (membership through 12/31/08)........		$570
	July session (membership through 12/31/08)...............		$545
	October session (membership through 12/31/09).........		$570
	Non-member..........................................................		$600
	Course Materials ..................................................... The Healthcare Quality Handbook		$140
	Each participant must purchase the Handbook which is the required text for the course
	CPHQs taking the course for recertification are entitled to an additional $25 discount off any of the fees listed above. Select from the list of fee options for CPHQs on the Online Payment Link Page.
	If you wish to receive your handbook early by mail, check here The 23rd Edition will not be available in advance of the July workshop. When you go to the Online Payment Link, check the box to pay the additional $10 fee for this service.
	A $25 processing fee will be charged if rebilling of a credit card charge is necessary

CAHQ, P.O. Box 70819, Pasadena, CA 91117-7819

Form more information, contact CAHQ at (800) 230-3163