Leading Home Care
The Academy for Private Duty Home Care
Louisville, KY
December 2, 2009

The Academy for Private Duty Home Care
Click here to download the 2009 Academy for Private Duty Homecare Louisville, KY brochure
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REGISTRATION FEES:
****$499 per person "All-Inclusive Package" Workshop fee, airport shuttle, hotel room, tax and meals

****$399 per person "Standard Package" Workshop Fee and meals ONLY (No Hotel Room or shuttle)

Registrations must be received by November 13, 2009

****$50 discount for registering two or more employees from the same company
 

ATTENDEE INFORMATION
 
* indicates required
* First Name:
* Last Name:
Organization:
  Mailing Address
* Address:
* City:
* State:
* Zip:
* Phone #:
Fax #:
* Email:
 

HOTEL ACCOMMODATIONS:
Include hotel accommodations: Yes  No
 
The Brown Hotel
335 W Broadway
Louisville, KY 40202
* Arrival Date: (i.e. 12/01/2009)
* Depart Date: (i.e. 12/02/2009)
Room Type Request: Single   Double/Double
Roommate Name:

Questions? Please call 800-368-4052 and mention that you are attending the Leading Home Care 2009 Academy for Private Duty Care. Hotel reservations must be made by November 13, 2009. After November 13, 2009 rooms are subject to availability.

 

CONFERENCE REGISTRATION PAYMENT:
* Please select a payment type:  
     My check is enclosed (made payable to Visitours)
     Visa   Master Card   Discover   American Express  
* Cardholder Name:
* Card Number:
* Expiration Date:
* Security Code:

 

The security numbers that we ask for are the numbers printed on the back of your credit card on the signature strip, towards the top and right of the strip (please see the picture below). There are between three and ten digits. We only require the last three.

Mastercard & Visa have introduced this system to provide greater levels of security to protect the customer. The security numbers are separate from the embossed numbers and from those contained in the magnetic strip. This means that you need to have the physical card to know the number.
Total Registration:
$499.00


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1939 Goldsmith Lane, STE 100 | Louisville, KY 40218 | Ph: (502)456-2774 Toll Free: (800)368-4052