Streamline Health - business process, document workflows, and process automation.

Ph: 513.794.7100
Fax: 513.794.9770

Streamline Health Solutions, Inc.
NASDAQ:(STRM)
10200 Alliance Road, Suite 200
Cincinnati, OH 45242

2008 Streamline Health User Group Registration Form

To register for the 2008 User Group: Complete this form and print it. To finish your registration, click on the "Submit Registration" button. If you have any questions, please email Melissa Vincent.
We look forward to seeing you!


Organization Name:
First Name:
Last Name:
Address:
Address 2:
City:
State:
Zip Code:
Telephone:
Fax:

Billing Contact Name:
Billing Address:
Billing City:
Billing State:
Billing Zip Code:

Sponsor Package:

Value Options:	Coffee Break Sponsor - $250 Registration Gift Sponsor - $750 Keynote Speaker Sponsor - $1,000
Sponsor Total Due:
Number of Attendees:
Attendee Names:

Date:
Please make your check payable to Streamline Health User Group 208. Forward your check to: Attention: Melissa Vincent Streamline Health 10200 Alliance Road, Suite 200 Cincinnati, OH 45242

Sponsor Refund Policy: Due to the nature and size of this program, sponsorship fees are non-refundable.
I hereby agree to all terms and conditions of sponsorship for the 2008 Streamline Health User Group Conference.

Agree to Terms and Conditions: Payment Sent:
Submit to complete your registration.