Yes! I would like to register for the conference.		Price: $795.00
If you are making multiple on-line registrations, one form needs to be filled out per attendee. Note: For the multiple registration discount, please see the Team Discount information above.
To ensure you are billed for only one conference, please select only one of the following options:

		I am more Cardiology focused
		I am more Radiology focused
		I focus on both specialties

Add Workshop(s): Optimize your conference experience!
Again, please select only one of the following three options:
Preconference Workshop, Monday, Oct. 9th	Price: $100.00

		The Nuts & Bolts of Cardiology Coding
		Cardiac Power Coding Comprehensive A to Z
		Nuts and Bolts of Radiology Coding

Postconference Workshop, Wednesday, Oct. 11th	Price: $100.00

		Peripheral Vascular Coding

Name Badge Information
Please enter your information below exactly how you would like it to appear on your name badge.

Name: Credentials: Organization: City, State:

Hotel Reservations
A special rate of $165 per night plus tax and resort fee at the Naples Grande Resort has been arranged for the Coding Institute delegates. If you would like assistance in making your reservation, please fill out the information below. The Naples Grande Resort will contact you directly to guarantee the reservation and payment.

Enter your Check-in, Check-out Dates, as well as
King or Double for Bed Type
Check-In Date: Check-Out Date: Bed Type:

*Please note that your accommodations are not guaranteed until the Naples Grande Resorts contacts you directly to confirm. If you would like to contact the resort directly, please call 888-422-6177 and mention the Coding Institute for the special rate.

Conference Materials
Take the information home with you! If your colleagues cannot attend, you can bring the education directly to them. It is a MUST have for any practice.

Please insert a quantity in the box provided for each item you would like to order.

Conference CD-ROM

Price: $395.00 ea.

		Cardiology 2006 CD-Rom
		Radiology 2006 CD-Rom

Document Book	Price: $125.00 ea.

		Cardiology 2006 Document Book
		Radiology 2006 Document Book

Conference CD-ROM & Document Book - Best Deal!	Price: $475.00 ea.

		Cardiology 2006 CD-ROM & Document Book
		Radiology 2006 CD-Rom & Document Book

Pre/Post Conference Workshop CD-Rom plus Handouts	Price: $125.00 ea.

		The Nuts & Bolts of Cardiology Coding
		Cardiac Power Coding Comprehensive A to Z
		Nuts and Bolts of Radiology Coding
		Peripheral Vascular Coding

Conference Extras

		Conference Tote Bag - $15.00
		SuperCoder T-Shirt - $16.00
		Mouse Pad - $10.00

*Please note that attendee at the conference receive a complimentary tote bag and mouse pad

Cancellation policy:
Please notify us in writing 10 business days before the event start date if, for any reason, you should be unable to attend. A credit voucher equivalent to the amount you paid will then be issued or, if you prefer, a full refund less a $100 non-refundable administrative fee will be given. For cancellations received fewer than 10 business days before the event start date no refunds or credits will be given. Your registration may be transferred to another individual at any time, but please notify us in writing. When registering, please indicate whether you qualify for a discount. No discounts can be combined. The Coding Institute does not accept responsibility for covering travel, accommodation or any other costs incurred by registrants should this event be cancelled for any reason. The event program content is subject to change without notice. Coding Conferences will not issue refunds due to inclement weather. Please make your travel plans accordingly, no exceptions.