22nd Annual TCC HIM Student Leadership Conference Online Registration Form

The HIM faculty at Tacoma Community College are pleased to announce the 22nd Annual HIM Student Leadership Conference presented by the graduating TCC HIT class of 2017. The conference will be held Saturday, June 3, 2017 from 8:00 a.m. until 4:30 p.m. on the main TCC campus.

Saturday, June 3, 2017
8:00 a.m. - 4:30 p.m.

H.C. Joe Harned Center for Health Careers, Building 13
Tacoma Community College
6501 S. 19th Street
Tacoma, WA 98466

The cost is $65 for professionals and $35 for students by the priority deadline of Saturday, May 27st, or $75 and $45 respectively at the door.

CONTACT INFORMATION

First Name:   Last Name:
Address:   City:
State:   ZIP Code:
Phone:  
Email Address:

Please list any food sensitivies you might have (i.e. peanuts, sugar, etc.):

PAYMENT

Early Bird Registration – if postmarked by May 27th

  • $65 for Professionals
  • $35 for Students

Late Registration – if postmarked May 28th or afterwards

  • $75 for Professionals
  • $45 for Students


CREDIT CARD

Credit Card Number:  Expiration Date:  
3-digit Card Verification Number (CVN):
Billing First Name:  Billing Last Name:
Billing Address:
Street:   City:
State:   ZIP Code:

Sorry, I don’t have a credit card. I will mail in a check, money order, or purchase order by no later than May 27, 2017.

Per TCC security, no parking pass is required for this conference as long as you park in the student spots.

Questions may be directed to:

Corinne Jarvis, RHIA
Health Information Management Program
Tacoma Community College
6501 South 19th Street
Tacoma, WA 98466-6100
Office phone: 253.566.5077
Email: cjarvis@tacomacc.edu