NCI - the leading authority on healthcare supply chain innovation

September 2-4, 2008 • Arizona Biltmore Resort • Scottsdale, Arizona

Fall 2008 Summit Registration

Attendee Option	$1,795.00 Per Attendee $1,695.00 Per Attendee 2 or more per company
First Name
Last Name
Middle Initial
First Name For Badge
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Spouse/Significant other (if attending)	Spouse/guest reg. fee is $250 per person; include with your total below. Guests may attend group meals & entertainment activities Only.
Assistant's Name
Assistant's Direct Phone
Assistant's email
Emergency Contact
Emergency Phone
Payment Type
Name as it appears on card
Card Number
Exp. Date
Billing Address Zip
Golf tournament	$150 additional fee applies
Handicap for golf
Discount Code:
	ADA: In compliance with the American with Disabilities Act, NCI will make all reasonable efforts to accommodate persons with disabilities. Please check the box and an NCI representative will contact you.
	Dietary Restrictions: NCI will make all reasonable efforts to accommodate persons with special dietary restrictions. Please check the box and an NCI representative will contact you.
Cancellations: No refunds will be allowed for cancellations; however, attendee substitutions within the same organization will be accepted up to five (5) business days prior to the event. No substitutions will be honored after this deadline. PLEASE NOTE: Registration fees cannot be credited toward future Events. By registering, I agree to all the terms and conditions set forth above. 100% Money Back Guarantee At NCI, we have demonstrated our commitment to improving the healthcare supply chain for more than two decades, nearing one hundred educational and networking events, with 100% satisfaction guarantee to every participant of every meeting. If after the event you are not 100% satisfied, we will refund your monies in full, minus a $250 processing fee. Refund requests must be received within five (5) business days of meeting adjourned date, by contacting NCI Accounting at 866-540-4441 or accounting@ncihome.com.