The Hebets Company 5th Annual Educational Symposium for Non-Profit Healthcare Organizations
December 6th - 8th, 2023
The Royal Palms Resort & Spa Phoenix, Arizona
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Event ID
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Event Name
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First Name
(Required)
Last Name
(Required)
Email Address
(Required)
Mobile Number
(Required)
Title
(Required)
Organization
(Required)
Do you have an Executive Assistant?
(Required)
Yes
No
Executive Assistant First Name
Executive Assistant Last Name
Executive Assistant Email Address
Executive Assistant Mobile Number
Full Name
(Required)
Dr.
Miss
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
Designations (optional)
Please confirm your name prefix/title and feel free to provide any professional designation you might have.
Example:
, SHRM-CP
Full Name
Postion & Organization/Company
is headquartered in (City):
is headquartered in (State):
Name Confirmation
Looks good!
Guest Registration | Would you like to bring a personal guest,
?
Your personal guest, spouse or significant other have full access to the symposium.
Would you like to bring a spouse or significant other?
Yes
No
Personal Guest for
We will ask for their contact details and information later on this registration form. Please be sure to have their email address and mobile number handy.
Click
Next
when ready.
Registration | How many Executive Guest(s) would you like to bring?
Each organization that is invited may bring up to two executive leaders or key board members (i.e. board chair, committee chair, etc.) to attend on a complimentary basis.
If you would like to bring more than two executive guests, please indicate that below, and continue to register your two complimentary executive guests.
How many Executive Guest(s) from
would you like to bring?
No Executive Guest
One Executive Guest
Two Executive Guests
More than Two Executive Guests
Approval Needed
You have selected to bring more than two executive guests.
In the message field below, please explain a bit more about your organization, and why you would like to bring more than two executive guests.
On the next page please continue the registration for your two approved executive guests.
Send message to (Name):
First
Last
Send message to (Email):
Please let us know more about your organization and why you would like to bring more than two executive guests?
(Required)
Hi Sharon, We would like to bring.... Thank you! , | , Email: Mobile:
Registration | Executive Guest(s)
Each organization that is invited may bring executive leaders or key board members (i.e. board chair, committee chair, etc.) to attend on a complimentary basis.
1st Executive Guest First Name
1st Executive Guest Last Name
2nd Executive Guest First Name
2nd Executive Guest Last Name
Registration | 1st Executive Guest
's Email Address
(Executive Guest for
)
's Mobile Number
(Executive Guest for
)
What is
's title?
Does
also work for/represent
?
Yes
No, they work for another organization in the community
What organization does
represent?
What organization does
represent?
Registration | 2nd Executive Guest
's Email Address
(Executive Guest for
)
's Mobile Number
(Executive Guest for
)
What is
's title?
Does
also work for/represent
?
Yes
No, they work for another organization in the community
What organization does
represent?
What organization does
represent?
Event Hub Invitation for
Once we complete your event hub registration, we will send an invite link to your executive guest,
. Once they receive this invite link, they will be able to complete their own registration.
Does
's email address look correct?
You can adjust here if need be.
Confirmation
(Required)
Yes, looks good!
Event Hub Invitation for
Once we complete your event hub registration, we will send an invite link to your executive guest,
. Once they receive this invite link, they will be able to complete their own registration.
Does
's email address look correct?
You can adjust here if need be.
Confirmation
(Required)
Yes, looks good!
Registration for your spouse/significant other. Personal Guest for
.
In addition to your executive guest(s), you are also invited to bring a personal guest.
Personal Guest First Name
Guest of
Personal Guest Last Name
Guest of
's Email Address
(Guest for
)
's Mobile Number
(Guest for
)
Would you like to include
's professional title and company on their symposium registration?
Yes
No
What is
's title?
What organization/company does
work for/represent?
I will be attending the following (
):
Wednesday (12/6) Cocktail Reception & Dinner at 6 PM
Thursday (12/7) Breakfast at 7 AM
Thursday (12/7) Lunch at 12 PM
Thursday (12/7) Dinner at 6 PM
Friday (12/8) Breakfast at 7 AM
Friday (12/8) Lunch at 11 AM
Select All
Dietary requirements for
:
Yes
What are your dietary requirements,
?
(Required)
will be attending:
Wednesday (12/6) Cocktail Reception & Dinner at 6 PM
Thursday (12/7) Breakfast at 7 AM
Thursday (12/7) Lunch at 12 PM
Thursday (12/7) Dinner at 6 PM
Friday (12/8) Breakfast at 7 AM
Friday (12/8) Lunch at 11 AM
Select All
Guest of
Dietary requirements for
:
Yes
What are
's dietary requirements?
(Required)
Hotel Registration - Royal Palms Resort and Spa
As an Invited guest you receive two complimentary nights at The Royal Palms Resort during our Symposium, Wednesday December 6th and Thursday December 7th.
Room and tax charge is paid for by The Hebets Company.
Would you like to secure your complimentary two nights at The Royal Palms Resort?
Yes
No, I have other accommodations
Would you like to extend your stay at The Royal Palms Resort?
Yes, I would like to extend my stay for an additional cost
No, I would just like my complimentary two night stay during the symposium
Check-in date:
MM slash DD slash YYYY
Check-out date:
MM slash DD slash YYYY
Check-in date:
MM slash DD slash YYYY
Check-out date:
MM slash DD slash YYYY
Extended Hotel Room Rate Charge
If yes, Sharon Parrish from The Hebets Company will confirm dates and pricing with you before any charges are assessed.
Note:
The current room rate to extend your stay at The Royal Palms is $464 USD per night (subject to change/availability).
Symposium Travel Suggestions
Arrivals:
Hotel check-in 4pm with welcome reception/dinner, Wednesday December 6th at 6pm.
Departures:
Event ends on Friday, December 8th at 12pm. Hotel check-out is 12:15pm.
All times are MST.
Room rates for pre/post symposium are $464. I am responsible for additional night stays outside of 12/06/2023 - 12/08/2023.
I understand
Contact Data Fields - Confirmation
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Attendee First Name
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Attendee Last Name
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Attendee Full Name
Dr.
Miss
Mr.
Mrs.
Ms.
Prefix
First Nane
Last Name
Designations (optional)
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Attendee Email Address (Preferred)
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Attendee Phone Number (Mobile)
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Attendee Organization/Company
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Attendee Job Title
Attendee Organization/Company City
Attendee Organization/Company State
Name Details/Organization/Company Confirmation
Attendee Executive Assistant (Yes/No)
Attendee Executive Assistant First Name
Attendee Executive Assistant Last Name
Attendee Executive Assistant Email Address
Attendee Executive Assistant Phone Number (Mobile)
Attendee Executive Guest - 1st Executive Guest First Name
Attendee Executive Guest - 1st Executive Guest Last Name
Attendee Executive Guest - 1st Executive Guest Email Address (Preferred)
Attendee Executive Guest - 1st Executive Guest Phone Number (Mobile)
Attendee Executive Guest - 1st Executive Guest Job Title
Attendee Executive Guest - 1st Executive Guest Organization/Company
Attendee Executive Guest (2nd Executive Guest First Name)
Attendee Executive Guest (2nd Executive Guest Last Name)
Attendee Executive Guest - 2nd Executive Guest Email Address (Preferred)
Attendee Executive Guest - 2nd Executive Guest Phone Number (Mobile)
Attendee Executive Guest - 2nd Executive Guest Job Title
Attendee Executive Guest - 2nd Executive Guest Organization/Company
Attendee Personal Guest First Name
Attendee Personal Guest Last Name
Attendee Personal Guest Email Address (Preferred)
Attendee Personal Guest Phone Number (Mobile)
Attendee Personal Guest Title (Personal Title)
Attendee Personal Guest Title (Professional Title)
Attendee Personal Guest Title (Organization/Company)
RSVP Confirmation
Yes, submit my registration!
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Email to go out to EG
cc - add main guest to email notification Hi, #fname. Your colleague, #guestName has requested for you to attend The Hebets Company 5th Annual Educational Symposium for Non-Profit Healthcare Organizations, as their executive guest. Cutting Edge Trends in Executive Compensation: How to Attract and Retain Top Talent December 6th - 8th, 2023 The Royal Palms Resort & Spa Phoenix, Arizona Please complete your registration by using the link below. LINK{Complete your symposium registration}
Hidden
Email to go out to EG
cc - add main guest to email notification Hi, #fname. Your colleague, #guestName has requested for you to attend The Hebets Company 5th Annual Educational Symposium for Non-Profit Healthcare Organizations, as their executive guest. Cutting Edge Trends in Executive Compensation: How to Attract and Retain Top Talent December 6th - 8th, 2023 The Royal Palms Resort & Spa Phoenix, Arizona Please complete your registration by using the link below. LINK{Complete your symposium registration}
