Monthly Calendar

◂ February 2024

AHCA Webinar: High-Risk Tags & Immediate Jeopardies
2/13/2024

Reducing Risks Related to Falls and Other Accident Hazards

Individual Webinar Pricing: $55 per Member / $110 non-member

12 Month Series Pricing: $540 Member / $1,200 non-member

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Contact Information:

Your Name:*

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Title:*

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Phone:*

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Pricing:*

Member (Individual Webinars:- $55 person) (12 Month Series: $540)

Non-Member (Individual Webinars – $110 person) (12 Month Series: $1200)

# of Registrants:*

Registrant(s) Information:

Registrant 1: Name*

First Last

Registrant 1: Title*

Registrant 1: Email*

NAB Number:

Date(s) Attending – Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Date(s) Attending – Non-Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Registrant 2: Name*

First Last

Registrant 2: Title*

Registrant 2: Email*

NAB Number:

Date(s) Attending – Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Date(s) Attending – Non-Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Registrant 3: Name*

First Last

Registrant 3: Title*

Registrant 3: Email*

NAB Number:

Date(s) Attending – Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Date(s) Attending – Non-Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Registrant 4: Name*

First Last

Registrant 4: Title*

Registrant 4: Email*

NAB Number:

Date(s) Attending – Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Date(s) Attending – Non-Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Registrant 5: Name*

First Last

Registrant 5: Title*

Registrant 5: Email*

NAB Number:

Date(s) Attending – Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Date(s) Attending – Non-Member:*

Individual Webinars

12 Month Series

Individual Dates:*

Payment Information:

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TOTAL:

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Monthly Calendar

AHCA Webinar: High-Risk Tags & Immediate Jeopardies2/13/2024

Reducing Risks Related to Falls and Other Accident Hazards

Contact Information:

Registrant(s) Information:

Payment Information:

AHCA Webinar: High-Risk Tags & Immediate Jeopardies
2/13/2024