Register here for the
2nd Annual Northeast Safe Patient Handling Conference.
Date: Friday, Nov. 4, 2011
Location: Grappone Conference Center, Concord, NH

This is the form for printing and mailing with a check.
If you would like to pay online with a credit card, please use this alternate form.


Fields with an asterisk are required.
Healthcare Facility*
Attendee First Name* Last Name* Cost
Title*   Email*
Address*
City*   State*   Zip*
Phone*
Please choose one: Acute Care Long Term Care

If you are only registering one attendee, you may now click the 'Submit' button at the bottom of the page.
To register additional attendees from your facility, use the section below. When complete, click the Print button and you will be promted to print this page to mail with your check.
Name (first and last) Title Email Cost
Order Total
Enter your discount code:
Please remit to: McAuley Medical, Inc.
78 Regional Drive, Suite 9
Concord, NH 03301-8530