Telepsychiatry Basics Seminar Registration: March 13, 2009
Name____________________________________________________________________
Title_____________________________________________________________________
Company_________________________________________________________________
Address__________________________________________________________________
__________________________________________________________________
Phone and Fax____________________________________________________________
Email Address____________________________________________________________
Area(s) of Interest: Clinical ____ Administrative/Technical ____
Method of Payment ($300 per participant/$150 for medical residents):
____ Check (payable to NARBHA)
____ Purchase Order (we will invoice you; payment must be received by seminar date)
____ PayPal
Registration deadline: March 1, 2009. Please send this form:
Cancellation policy: If you need to cancel your registration, contact Nancy Rowe. We will refund your payment, minus a $25.00 processing fee.
Lodging: Flagstaff is a beautiful mountain town with four seasons. Come for the seminar, stay for the weekend. (March is a snowy month; check out the Arizona Snowbowl ski area.) The Radisson Woodlands Hotel is right across the street from NARBHA headquarters; call 928-773-8888 and ask if rooms are available at the NARBHA Rate. Other Flagstaff accommodations
Getting here: Flagstaff's airport is served by USAirways from Phoenix and Horizon Air from Los Angeles/LAX. You also can fly into Phoenix and take a shuttle to Flagstaff (Open Road Tours / A Friendly Shuttle / Flagstaff Express).
Questions? Contact Nancy Rowe, 928-214-2163, nancy.rowe@narbha.org