Order Form

Payment Information
Credit Card #: __________________________
Expiration Date: ____/ ____/  (mm/YY)
Cardholder's name: _____________________
CVV or CVC: _____________________________
Signature : ______________________________
Billing Email : ____________________________

Visa    MasterCard    Discover   
American Express   
Others (Type Here)   _________________

 
Personal Information
Name: _________________________________
Address: _______________________________
Address Line 2: ________________________
City: __________________________________
State: _________________________________
ZIP: ___________________________________
Phone: _________________________________
Fax: ___________________________________
Email: _________________________________
Job Title *: _____________________________

If you want to make the payment through check or ACH please E-mail us at: cs@conferencepanel.com

Conference Title: EMTALA Update 2020- Frequently Cited Deficiencies by CMS for Hospitals- 3 Part Webinar Series
Conference Date: Feb 05, 2020
Quantity Price Total
Recorded Webinar $479
$499
$679
$679
Transcript (Pdf) $479
Recorded Webinar & Transcript (Pdf) $669
Coupon Code
Total
Please send the completed order form via fax or e-mail
Note: All the order related material (Presentation, Transcript etc.) shall be fulfilled through the included email address only.

For any queries call at +1-800-803-7592 or email at cs@conferencepanel.com