2012 EIGHTH ANNUAL ARMADA SPECIALTY
PHARMACY SUMMIT


ATTENDEE REGISTRATION

Register to attend the 2012 Eighth Annual Armada Specialty Pharmacy Summit by completing the form below; or print out and complete this PDF registration form and fax it to Chris Benz, Armada Health Care at 973-564-8010.
On behalf of Armada Health Care, thank you for registering for the The 2012 Eighth Annual Armada Specialty Pharmacy Summit which will take place on May 1, 2012 thru May 4, 2012, at the Wynn Hotel in Las Vegas, NV. Within 1 business day after you submit your registration, you will receive an email confirming your registration has been received and is being processed+. If you have any questions, please call Chris Benz at 973-564-8004 or email chris.benz@armadahealthcare.com.


SUMMIT REGISTRATION FEE
Early Bird Attendee Fee, Available Before March 1, 2012: $795.00
Attendee Fee, After March 1, 2012: $995.00
On-Site Registration Fee: $1195.00





General Information
*Prefix:     *First Name:     *Last Name:
*Preferred First Name:
(for name badges)		      
Middle Initial:      
*Title: (eg. Chief, VP)  
Degree: (eg. MD, RPh, PhD, DPM)  
*Company:
*Company Type:
*Other:
Primary Address
*Address Type:        
*Address: *City:
Address: (Line 2) *State:
Address: (Line 3) *Zip:
Primary Contact Information
*Phone:   Cellular Phone:   Armada will be offering updates during the Summit. If you would like to opt-in to receive the text messages, please provide your cellular number. Armada will not distribute this information and you will only receive text updates during the Summit.
Fax: *Email:
*Estimated Arrival Date:
       
*Estimated Departure Date:
       
*Do you plan to stay at the Wynn Hotel?    
Do you have an Armada Member Code? Enter it here  
Interested in becoming a member of Armada Health Care?       Armada Health Care Members receive additional benefits during the Summit. If your organization would like more information about membership, please contact Chris Benz at 973-564-8004 or email chris.benz@armadahealthcare.com.

Secure online credit card processing is provided by Strategic HealthCOM, on behalf of Armada Health Care, through PayPal. You do not need to create or have a PayPal account in order to proceed with this registration. Any personal information captured is protected and not shared with any clients, consultants, visitors or third parties. Credit card information is not reused or shared in any manner.


Cancellation Policy: Written cancellations received prior to April 1st, 2012 will receive a 100% refund. No refunds will be made after April 1st, 2012. Written cancellations must be sent to Armada Health Care, 100 Campus Dr. Suite 102, Florham Park, NJ 07932 Attn: Chris Benz, Marketing Director.

To complete your registration, please proceed through the payment process by clicking the Step 2 button below. When your payment has been made, please click on the "Return to Strategic HealthCOM" link on PayPal's receipt page to finish your registration for the Summit. Thank you.


+ The Annual Armada Specialty Pharmacy Summit is a private business event. As founder and host, Armada Health Care monitors registration and attendance. Registration and/or attendance may be denied to any person or entity by Armada Health Care, in its sole discretion.

*Required field

For questions regarding your registration, the meeting itself, or if you would like to reserve exhibit space at the 2012 Summit please contact  please contact Chris Benz at 973-564-8004 or email chris.benz@armadahealthcare.com.

To become an Armada member, contact Armada Health Care today at 866-766-4002 or email info@armadahealthcare.com.

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