2015 Annual Conference:

A Palette of Care

September 29- 30, 2015

Registration Options:

Full Conference / OHPCA Member / Non Member
Early Bird (postmarked by Aug. 28) / $260.00 / $460.00
On Time (postmarked by Sept. 14) / $300.00 / $500.00
Oops (received by Sept. 21) / $350.00 / $550.00
Volunteers / $95.00 / $95.00
One Day Only
Early Bird (postmarked by Aug. 28) / $170.00 / $270.00
On-time (postmarked by Sept. 14) / $195.00 / $295.00
Oops (received by Sept. 21) / $210.00 / $320.00

Dietary Needs:

______Diabetic

______Vegetarian

______Gluten Free

______Regular

Absolutely no registration will be accepted after September 21. Conference registration includes name badge, admission to all sessions ( including the ICD-10 Intensive) continental breakfast on day 1 and lunch on day 2. Lunch tickets will be issued with registration materials. Full conference and one-day rates have been established for the convenience of conference attendees. One full conference registration cannot be split for two single-day attendees. Volunteer discount rates are available for volunteers only.

Conference registration does not include hotel accommodations. Please make hotel reservations directly at: Sheraton Midwest City Hotel at the Reed Conference Center, 5800 Will Rogers Road, Midwest City, OK. (405)455-1805. Room rate for conference: Single/Double Occupancy: $104.00/night.

Registration fees will be refunded, minus a $25.00 administrative fee, for cancellations received in writing at least 10 calendar days prior to the program date. Cancellations received in writing less than 10 calendar days prior to the program will be subject to a 40% penalty. Conference “no shows” will forfeit their entire registration fee. Substitutions are welcome. Please advise OHPCA in writing if a substitute will be attending in your place. Please note that the liability of OHPCA is limited to the registration fee. OHPCA will not be responsible for any losses incurred by registrants, including but not limited to airline cancellation charges or hotel deposits.

In a continuing effort to be responsible with available resources, no handouts will be passed out during concurrent sessions. Instead, they will be available for download on the OHPCA website both before and after the conference.

For additional information, please call the Oklahoma Hospice and Palliative Care Association at (405) 513-8602 or e-mail .

Registration Form

Name: ______

(as you would like it to appear on name badge)

Title/Occupation______Hospice/Company______

Address______

City______State______Zip______Phone______Fax______

E-mail______

(Required of every attendee in order to receive communications, evaluations and certificates)

Full Conference (Both days) $______

Tuesday, September 29th only $______Mail with payment to:

Wednesday, September 30th only $______Oklahoma Hospice and Palliative Care Association

Total enclosed $______P.O. Box 1466

Credit Card No.______Ardmore, OK 73402

Security Code______Exp date______Phone: (405) 513-8602

Signature______E-mail;