2019 CBH Executive Retreat

Registration Options

Option 2 ($235.00)
Registration Members Only - Register after October 7, 2019
Option 3 ($250.00)
Non Member Registration

Name

Phone Number

Address

Company

This section asks information about your organization that will help CBH facilitate several discussions at the retreat. Please select your answer from the drop down menu. All information collected is confidential and will only be used to plan the discussions. Identifiable information will not be shared during the discussions at the retreat.

Is your organization currently experiencing challenges in workforce recruitment and retention?

Do you currently contract with private insurance providers?

Do you provide SUD services?

Do you formally partner with hospitals?

Does your organization struggle to diversify revenue streams?

Convenience Fee

$4.00

Running Total

$4.00

Total

$4.00

Billing Information

Name

I am representing an organization

Credit Card

Visa
Mastercard
American Express
Discover

Address

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