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1. Global Implementation Conference - RegOnline https://www.regonline.com/register/confirmation.aspx?EventId=909736&...
Monday, August 15, 2011 8:00 AM - Wednesday, August 17, 2011 2:30 PM (Eastern Time)
Washington Marriott Wardman Park
2660 Woodley Road NW
Washington, District of Columbia 20008
United States
1 (202) 328-2000
Demographic Information Agenda Checkout Confirmation
Congratulations! Your registration completed successfully.
You will receive a confirmation e-mail message shortly. If you do not receive an e-mail, please check your junk mail box. If your
confirmation is not there, please call the Registration Management office toll-free at (866) 219-4582 to confirm registration.
Demographic Information
Registration ID: 34995161
Registrant: Nelson Hernandez
Consultant
SIGIL
1541 Brickell Av Ap 3304
Miami, FL 33129
Panama
Registration Date: 7/21/2011 9:15 PM
Status: Pending
Work Phone: 3059688939
Cell Phone: 3059688939
Email: nelsonh@sigilcg.com
Secondary Email Address (cc Email): nelsoh11@gamail.com
Field: Public Health
Role Within Company/Organization: Consultant
Please rate your level of experience with implementation science.: Experienced
Colleague:
Agenda
Practitioners Practice Group
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2. Global Implementation Conference - RegOnline https://www.regonline.com/register/confirmation.aspx?EventId=909736&...
Practice Group Selection Monday (Details)
Selection: Practitioners
Presentation Clusters Monday attendance
Selection: No
Practice Group Selection Tuesday (Details)
Selection: Practitioners
Presentation Clusters Tuesday attendance
Selection: No
Fee Summary
Fee Quantity Unit Price Amount
Registration Fee 1 $550.00 $550.00
Subtotal: $550.00
Total: $550.00
Transaction Summary
Transaction Type Date Amount Balance
Transaction Amount 7/21/2011 $550.00 $550.00
Online Credit Card Payment (************3368) Details 7/21/2011 ($550.00) $0.00
Current Balance: $0.00
Payment Information
Payment Method: Credit Card (Visa)
The online credit card payment for this event will be listed on your credit card statement with the name Kesselman-Jones,
Inc..
Refund Information
NO REFUNDS AFTER JULY 15, 2011, 5:00 PM, EST.
Cancellations received in writing by July 15, 2011 will be refunded in full less an administration charge of $50. Notice
of cancellation must be completed either by submitting your cancellation through the online registration site or be
sent in writing by either e-mailing GIC@Kessjones.com or by writing to the Registration Manager, Kesselman-Jones,
Inc., PO Box 30182, Albuquerque, NM 87190. Should you need to cancel your registration after July 15, the
registration fee remains payable in its entirety although a substitution will be accepted.
Registrations may not be shared or split; however, you may send someone in your place. Once you register, we will be
reserving meals for you. After we make this reservation we must pay regardless of whether you attend or not.
Therefore, organizations submitting purchase orders as a form of payment will be invoiced and expected to pay, even
if the individual does not attend.
2 of 2 7/21/2011 10:20 PM