National Credentialing Forum
8:00 a.m. – 4:30 p.m.,Thursday, January 31, 2013
8:00 a.m. – 3:30 p.m., February 1, 2013
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GUEST ROOM BLOCK & RATES:
Block is saved January 27– February 4, 2013 at the rate of$126with One King Bed or Two Queen Beds up to two people. (Bay view rooms are available for $146)The group rate is based on single or double occupancy per room per night. Room rates subject to Taxes totaling 12.6%. Rooms are discounted by group rate. Make your reservations BEFORE December 14, 2012 to guarantee room availability and these rates. You can reserve online at are held in the name of National Credentialing Forum. We must fill our room block by December 21, 2012 to avoid any penalty assessment.
Participants for the February Forum is limited to 50 registrants. Recent participants (and those scheduled to be on the agenda), must confirm their attendance by December 16th. This size limit has been kept in the spirit of carrying on with the concept of a manageable “round table”discussion forum. Space availability for newcomers will be assessed as the RSVPs arrive for this meeting.
NATIONAL CREDENTIALING FORUM 2013
January 31 – February 1, 2013
RSVP (past participants) for the NCF meeting must be received
No later than Friday, December 16, 2012 (to assure a roundtable seat)
And Registration Form by January 16, 2013
Send Registration form with check for $200.00*made outto
National Credentialing Forum Services
(Add $25 if you plan to bring a guest to the Thursday reception)
If your organization requires a W-9 form, contact
Mail check with this form to:
National Credentialing Forum
c/o Annette Van Veen Gippe
American Osteopathic Information Association
142 E. Ontario –10th floor
Chicago, IL60611
(SORRY, no credit cards)
ContactAnnette Gippe with questions or special requests re: registration: (312-202-8142);
email address:
(Print Names of Each Attending)
(Print Names of Each Attending)
(Print Names of Each Attending)
(Print Name[s] of Guest[s] – for Thursday evening)
Name of Organization:______
Phone Number(s):______
Email:______
* Charges are calculated to cover meeting costs and include light breakfast and snack service
for Thursday and Friday, Thursday Lunch, and Thursday reception.
Should all funds not be used, they will be reserved for next year’s deposit.