Registration for Owner Administrator Forum Course Fee: $899                                                Early Bird Special $875          This does not include your airfare. Includes lunch, and class materials.  Both registration and payment to the seminar must be received 30 day prior to te seminar to received the Early Bird Rate. Email:   Name 1:     Name 2:   Name 3:   Agency:     Address:     City:     State:   Zip:     Phone: Fax:   Method of Payment:   Please Select One Visa American Express MasterCard Check Discover Check #   Name on the Card:       Card Number:        Expiration Date:     Leave blank if same as agency address. Credit Card Billing Address:                     City:   State:   Zip:     Date Attending:   Please Select One St. Thomas USVI Nov. 2-5, 2010

Cancellation Policy  If Medicare Training & Consulting must cancel a seminar due to low registration a refund will be issued. If a participant cancels 15 or more calendar days prior to the meeting date, a refund will be issued. After 15 days you will receive a credit which may be used to enroll in a future course. We are unable to grant refunds for lodging, air fare, administrative fees, etc.    Go Daddy