2010 RHC Billing 101 Seminar Registration Form

Please complete the following registration information

 Name

Clinic

Address (1)

Address (2)

City, State, Zip

Telephone

Fax

Email

Please check beside the seminar that you wish to attend and check whether you want to order the Workbook and CD as well as the Seminar. The cost of the seminar is $250 and the cost of the workbook is $125. You do not have to come to the seminar to order the workbook or the cost report workbook.

Location	Date	Seminar	Workbook
Hilton Head, SC	Friday, July 16, 2010
Kansas City, Missouri	Thursday, September 30, 2010
Reno, Nevada	Tuesday, October 19, 2010

Please mail this form to Mark R. Lynn, Healthcare Business Specialists,

Suite 214, 502 Shadow Parkway, Chattanooga, TN 37421 or fax it to (800) 268-5055. Checks should be made out to HBS or you may Paypal the payment to la_vita_nouva@hotmail.com. Workbook only orders accepted.  

Contact Information:

Mark R. Lynn

Healthcare Business Specialists

Suite 214, 502 Shadow Parkway

Chattanooga, Tennessee 37421

Telephone (423) 899-0945

Email: la_vita_nouva@hotmail.com

Fax: (800) 268-5055