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MediServe User Group - Blazing New Trails - June 18th - 21st 2008

Registration

* = Required

Personal Information
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Special Needs

We will have an attendee list available for pickup at the registration desk. This list may be helpful for those who wish to contact or meet up with others at the conference.

I authorize my personal information including name, hospital name, address, phone numbers, and email addresses to be published in the MSUG 2008 attendee list.
Hospital Information
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Early Bird Registration

Plan ahead and register by April 4, 2008 to receive $100 off of your attendance rate! Cost for attendees that register by this "early bird" deadline is $895. Payment will be $995 after April 4th. Don't fall off the wagon and by procrastinating! Register early! All registrations (both Sponsored and Non) must be received by Friday, May 23rd, 2008. Don't fall off the wagon by procrastinating!

Sponsored/Non-Sponsored Attendee Info

Most MediServe clients receive annual attendance for 2 users in their organizations in accordance with their Annual Support and License Fee agreement, assuming clients are in good standing with payments. Please review your contract and contact MediServe with any questions.

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I am a sponsored attendee as outlined in the ASLF agreement of my organization. MediServe will make my hotel, air, and transportation arrangements.
I am a non-sponsored attendee as outlined in the ASLF agreement of my organization or I am an attendee additional to those slots provided to my organization. I understand that MediServe requires a payment of $895 (includes tuition, course materials, breakfast and lunch for the 3 days) due by Friday, April 4, 2008 or a payment of $995 after April 4th. I will make my own hotel arrangements at: http://marriott.com/phxdr?groupCode=medmeda&app=resvlink, or call Marriott Reservations (be sure to tell them you're with the MediServe group). I will also be responsible for making my own transportation arrangements.
I am sponsored for registration only and am responsible for my own hotel, air and transportation arrangements.
Travel & Lodging

New this Year for MS Sponsored Attendees only! Please plan to take a taxi between the Phoenix Sky Harbor Airport and the JW Marriott. Remember to get a receipt for this service to submit with a reimbursement form that will be supplied to you at the MSUG registration desk. $75 will be allocated to cover the fare plus gratuity each way.

Trying to be environmentally friendly? Check out this new Phoenix-based transportation company called EnviroCar to arrange ground transport between the airport and the JW Marriott! A hybrid car will take you to your desired destination in an effort to keep our air clean. Call the toll free number (888) 334-4034 and reference the name of MediServe to receive an additional 20% off! This service books up quickly and they make reservations on a first-come-first-serve basis. Make your reservations today! For more information about EnviroCar, visit their website at www.envirocarphx.com.

If you are not an MS Sponsored participant you DO NOT need to fill out this section and are responsible for making your own travel & transportation arrangements. If you are unsure, please contact Michelle Steele at 800-279-8456. Please plan on arriving by 6:00 PM Wednesday, June 18th so you can join us for the Evening Reception at 6:30 PM. MediServe will not be purchasing airline tickets immediately. You will be contacted by Michelle Steele within the next few months, please be patient. The following information outlines the terms and policies for travel and lodging set forth by MediServe. Please review these terms and indicate that you agree to them by checking the box below this section. MediServe will not proceed in making any travel or lodging arrangements unless this box is checked.

Air travel policy

  • Air travel arrangements will be made by MediServe for MS Sponsored Participants only.
  • All flights will be purchased at Coach fare seating.
  • Departing flights will be reserved out of the nearest major airport.
  • If name on already purchased flight changes at any time new attendee will be responsible for any charges and/or new ticket purchase.
  • If attendee opts to travel by vehicle rather than by air, MediServe will only reimburse the attendee up to the amount of determined ticket cost per MediServe booking agent.
  • All purchased flights are final. They are non-refundable and non-transferable; any changes to a booked flight are at the expense of the attendee.

Ground travel policy

  • Ground travel reimbursements will be made for MS Sponsored Participants only.
  • MediServe will not reimburse for rental vehicles.
  • Transportation service may be provided by cab or Marriott shuttle service.
  • $75 will be allocated to cover the fare plus gratuity between the Phoenix Sky Harbor Airport and the JW Marriott Resort.
  • You must provide a receipt for this service plus a reimbursement form that will be available at the conference.

Lodging policy

  • MediServe will be responsible for MS Sponsored Participants' room and tax for the duration of the conference. Attendee will be responsible for all other incidental charges (i.e. movie rentals, telephone, etc.).
I have read and agree to these terms.

Note: Our group rate of $79 applies 1 day prior and 3 days after the conference dates should you wish to extend your stay at your cost. This is based on hotel availability only. If you're extending your stay and would like to see more of the valley please contact Ruth Bodily at RBodily@mediserve.com or 480.831.7800 x3152 for tour information offered by the concierge.

Flight Info
Instruction

MediServe will offer several different areas of instruction this year. Please indicate your interest. In order to prevent overcrowding of certain classes, please recognize repeat classes and utilize them accordingly (i.e. try attending the 2nd course if the 1st one seems full).

Areas of Interest *

Acute Care - Respiratory
Acute Care - Rehabilitation
Acute Rehabilitation - IRF
Outpatient - Rehabilitation
Other (please specify)

Presentations *

I am interested in presenting at the User Group Conference.
I am NOT interested in presenting at the User Group Conference.

* If selected, will receive one tuition waiver for your facility.

Reception & Activity Sign-Up

Wednesday Evening Reception *

Wednesday Evening, June 18, 2008 @ 6:30 - 8:30 PM

I plan on attending the Wednesday evening reception.
I do NOT plan on attending the Wednesday evening reception.

Thursday Evening Activity at Jillian's *

Jillian's consists of 65,000 square feet of 'climate controlled' action & fun on two floors of excitement! A dinner buffet will be offered with a variety of food choices. Also, "Black Light" bowling lanes will also be reserved for those who want to dust off their bowling shoes and play! If not, Jillian's offers 170 arcade games ranging from the Classic Carnival to the current Motion Based & Virtual Reality games. For all you sports fans, there are 3 bar/lounge areas that contain dozens of flat screen televisions, each broadcasting different sports channels and games.

We gladly welcome any family or friends you would like to bring with you to the activity at $45 per person.


Friday Evening Free Night

Information on some of Phoenix's hot spots for food entertainment, such as Tempe's Mill Avenue, Downtown Scottsdale and Northern Scottsdale will be provided for you to choose from. Also, the many shopping, dining and entertainment options that are offered at the Desert Ridge Shopping Center are only a quick (and free) shuttle ride away! Don't feel like going out? Relax and enjoy all that is offered at the JW Marriott, including restaurants, music, a complete spa and more.

The JW Marriott Desert Ridge has many on-site activities and entertainment to fulfill your free time. For more information check out the Dining & Entertainment area of the website: http://jwdesertridgeresort.com/dining/dining.asp. If you're extending your stay and would like to see more of the valley, please contact Ruth Bodily at RBodily@mediserve.com or 480.831.7800 x3152 for tour information offered by the concierge.

Diamondbacks Info

The Arizona Diamondbacks have a home game scheduled against the Oakland A's on Tuesday, June 17 at 6:40 PM. If your travel arrangements allow for you to attend this game and would like more information about tickets sales, please contact Ruth Bodily at RBodily@mediserve.com as soon as possible to secure seat reservations. Tickets sell out fast!

Payment Info & Due Date

Tuition for Non-Sponsored attendees is due May 16, 2008. If you have any questions please contact Jolynn Kellis at JKellis@mediserve.com or 480.831.7800 x3203 or Jackie Valdez at JValdez@mediserve.com or x3205..

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