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Mended Hearts 63rd Education and Training
Conference Registration Packet
June 24 – 27, 2015
Orlando, FL
Mended Hearts welcomes you to sunny Orlando for the 63rd Annual Conference.
Our goal this year was to focus on what we could offer, you, the attendee, to make this the most
memorable event ever! We feel we have accomplished this with ample opportunities to network
with other Mended Hearts members from across the country, participate in valuable workshops
on chapter and member development, and hear the latest on heart related trends from
cardiologists and healthcare team professionals. To make this an even more informative event,
we will open the doors to the general public (at a nominal fee) for our first ever MHI Patient and
Caregiver Symposium. Your registration fee covers your attendance to this priceless day.
Speaking of registration fee, we have found a way to creatively offer you the lowest registration
fee since 2005!
Also, a special evening is being planned for the Farewell Dinner, with the installment of the
2015-2017 National Board of Directors. It is an event you will not want to miss!
The Buena Vista Palace Hotel and Spa offers a premier meeting experience in the heart of the
world famous Downtown Disney. Directly across the street from Downtown Disney, with a FREE
shuttle to all Disney Theme Parks.
Oh, and did I mention that we have arranged FREE transportation to and from the airport for
those arriving on June 24th and departing on June 28th? Be sure to register your transportation
through the Hello Florida link on the Mended Hearts website.
I would like to extend a special welcome to the first time attendees. May this year be the first of
many more conferences in your future! Don’t forget to sign up for the buddy program and
connect with Mended Hearts members from across the country, even before the conference!
I wish to extend a special “Thank You” to the conference committee, program committee, local
volunteers and the great Mended Hearts Staff – my hat’s off to you for a job well done!
Enjoy and learn,
Marvin Keyser
National Conference Chairman
1
Program
All meetings are on the Convention Level unless otherwise noted.
Wednesday, June 24, 2015 – Day 1
Begin/End Time
Noon – 5:00 pm
Function
Attendee Arrival – Registration – Badge pick-up
Meeting Room
Events Center
Noon – 5:00 pm
Social time and Visit Exhibitors
Exhibits Center
2:00 pm – 3:00 pm
First Timers/Buddy Orientation
Lynn Frierson, Conference Program Chair
Mended Hearts, Inc. Board of Directors meeting
All attendees are welcome to this open board meeting!
Great Hall Center
3:15 pm - 5:15 pm
5:30 pm – 6:30 pm
Welcome Reception and Entertainment
Lobby Level
Cloister North/
South
Great Hall North
6:30 pm – 8:30 pm
Welcome Dinner / Hats off to Our Heroes!
Great Hall North
2
Thursday, June 25, 2015 – Day 2
Begin/End Time:
7:00 am – 7:30 am
8: 00 am – 9:15 am
Function
Meeting Room
Morning Walk, Jim Oldfield, Walk Leader, Pontiac,
Meet in Hotel Lobby
Michigan Chapter 230
Coffee and Muffins Regional Meetings – Please attend your
region’s individual program:
Convention Center:
Central Region
Events Center A/B
Mid-Atlantic Region
Events Center C/D
Midwest Region
Events Center C1/D1
Northeast Region
Events Center E/G1
Rocky Mountain Region
Events Center F/G
Southern Region
Events Center H/I
Southwest Region
Lobby Level:
Cloister North
Western Region
Lobby Level
Cloister South
9:30 am –10:30 am
Annual Meeting General Session
Great Hall North
11:15 am – 1:15 pm
Luncheon – “Living with Heart Failure”
A joint program of Mended Hearts and American
College of Cardiology CardioSmart
Great Hall North
1:45 pm – 2:45 pm
Two Concurrent Workshops
A – Chapter Building/Member Recruiting & Engaging
Ron Manriquez, Lakewood, California Chapter 149
Great Hall Center
B – Ask the Pharmacist a Question / Medication Adherence
Sarah Spinler, PharmD, Professor of Clinical Pharmacy
Philadelphia College of Pharmacy, Philadelphia
Scotland
Orlando-based Pharmacy school students/Q & A
2:45 pm – 3:00 pm
Break/Member Networking
3:00 pm – 4:00 pm
Two Concurrent Workshops repeat
4:30 pm – 6:00 pm
Event Center
A – Chapter Building/Member Recruiting and Engaging
Ron Manriquez, Lakewood, California Chapter 149
Great Hall Center
B – Ask the Pharmacist a Question / Medication Adherence
Sarah Spinler, PharmD, Professor of Clinical Pharmacy
Philadelphia College of Pharmacy, Philadelphia
Orlando Pharmacy program students
Scotland
Mended Hearts/Mended Little Hearts RD &
ARD Training Session Regional Directors,
MH & MLH Assistant Regional Directors
Lynn Berringer, Vice President
Patrick Farrant, Vice President-elect
Great Hall West
Dinner on Your Own
3
Friday, June 26, 2015 – Day 3
Begin/End Time:
7:00 am – 7:30 am
Function
Morning Walk, Jim Oldfield, Walk Leader, Pontiac,
Michigan Chapter 230
Meeting Room
Meet in Hotel Lobby
7:30 am – 8:15 am
Coffee – Member Networking
Events Center
8:30 am – 9:30 am
MH & MLH General Session:
Inspiring Volunteer Leadership!
Pamela Landwirth, President, Give Kids the World
Great Hall
North/Center
9:30 am – 9:45 am
Break
Great Hall
Assembly Center
9:45 am – 10:45 am
General Session
Great Hall
North/Center
C - Twenty Tried and True Ways to Spice Up Your Chapter!
Cathy Byington, Midwest Regional Director/President,
Sioux Falls, South Dakota Chapter 214
10:45 am – 11:00 am
Break
Great Hall
Assembly Center
11:00 am – 11:45 am
General Session:
Great Hall
North/Center
D – Lifestyle Changes After a Heart Event
Pradip Jamnadas, MD, MBBS, FACC, FSCAI, FCP, FACP
Interventional Cardiologist, Cardiovascular
Interventions, P.A. Orlando, Florida
11:45 am – 1:45 pm
Lunch On Your Own
1:45 pm – 2:45 pm
Two Concurrent Workshops
E – Recruit, Train, Retain!
Fredonia B Williams, Ed. D., National Visiting Chair,
Huntsville, Alabama Chapter 260
Great Hall North
F – Partnering with Hospitals to reduce Readmissions!
Julie Lietaert, RN, and Joyce Reid, RN
Cardiovascular Institute, Memorial Regional Hospital,
Hollywood, Florida
Great Hall Center
2:45 pm – 3:00 pm
Break
Great Hall
Assembly Center
3:00 pm – 4:00 pm
Two Concurrent Workshops repeat
E – Recruit, Train, Retain!
Fredonia B Williams, Ed.D., National Visiting Chair,
Huntsville, Alabama Chapter 260
Great Hall North
F – Partnering with Hospitals to reduce Readmissions!
Julie Lietaert, RN, and Joyce Reid, RN
Cardiovascular Institute, Memorial Regional Hospital,
Hollywood, Florida
Great Hall Center
Dinner on Your Own
4
Saturday, June 27, 2015 – Day 4
Begin/End Time:
7:00 am – 8:30 am
Function
Invitation only: Corporate Advisory Council, Sponsors,
Board Breakfast
7:00 am – 7:30 am
Morning Walk, Jim Oldfield, Walk Leader, Pontiac, Michigan Meet in Hotel Lobby
Chapter 230
8:30 am – 9:00 am
Coffee – Member Networking
Events Center
8:30 am – 9:00 am
Symposium Registration & Packet Pick-up
All Conference attendees complimentary; open to public
Visit Exhibitors
Great Hall
Registration Booth
9:00 am – 2:15 pm
Patient Symposium – see separate program for all
conference attendees
“Empowering Heart Patients and Caregivers”
Great Hall
North/Center
2:15 pm
Symposium Adjournment
2:30 pm – 3:45 pm
Newbie Graduation, Lynn Frierson, Program Chair
Great Hall
North/Center
5:30 pm – 6:30 pm
Reception
Great Hall
North/Center
6:30 pm
Awards Banquet & Board Installation
Great Hall
North/Center
Saturday evening
Conference Adjournment
Oxford
Sunday, June 28, 2015
Begin/End Time:
7:30 am – 9:00 am
Function
Breakfast meeting, 2015-17 Board of Directors only
Meeting Room
Lobby Level:
Oxford
5
Symposium
Empowering Heart Patients & Caregivers
Saturday June 27, 2015
9:00 am – 2:15 pm (includes light lunch)
Convention Level: Great Hall North/Center
Buena Vista Palace
Orlando, Florida
8:30 – 9:00 am - Coffee / Peer Networking
9:00 am – Welcome & Introductions, Fredonia B. Williams, Ed.D.,
Master of Ceremonies and Mended Hearts Southern Regional Director, Huntsville, AL
9:05 am- Managing Cholesterol and Lipids
Ralph Vicari, MD, FACC, FNLA
Vice President, Foundation of the National Lipid Association
Associate Professor of Cardiovascular Medicine
University of Central Florida College of Medicine
Melbourne, FL
Diplomate, American Board of Clinical Lipidology
9:30 am – Heart Failure Symptoms and Treatments
10:00 am – 10:30 am– Break & Visit Exhibits
10:30 am – Hypertension & Heart Disease
Kim Allan Williams, Sr., MD, FACC
President, American College of Cardiology
James B. Herrick Professor and Chief of Cardiology Division, Rush University Medical Center, Chicago, IL
Dr. Williams received his undergraduate degree at the University of Chicago, followed by medical school at the
University of Chicago's Pritzker School of Medicine. He completed his internal medicine residency at Emory
University, and overlapping fellowships in cardiology, clinical pharmacology, and nuclear medicine at the University
of Chicago. He is board certified in internal medicine, cardiovascular diseases, nuclear medicine, nuclear cardiology
and cardiovascular computed tomography. In 2013, Williams assumed the position of James B. Herrick Professor
and chief of the division of cardiology at Rush University Medical Center in Chicago, IL. Williams has served on
numerous committees and boards at the national level, including the American Society of Nuclear Cardiology
(ASNC), the American Heart Association, the American Medical Association (AMA), the Certifying Board of Nuclear
Cardiology, the Certifying Board of Cardiac Computed Tomography, the Society of Cardiovascular Computed
Tomography and the Association of Black Cardiologists (ABC).
11:00 am – Latest Innovations & Therapies in Interventional Cardiology
James C. Blankenship, MD, MSc, FSCAI
President, The Society for Cardiovascular Angiography and Interventions,
Director, Department of Cardiology, Geisinger Medical Center,
Danville, Pennsylvania
Dr. Blankenship is a practicing interventional cardiologist at Geisinger Medical Center and is the director of the
Geisinger Cardiology Department and catheterization laboratories. He is an adjunct professor of medicine at
Temple University Medical College and has authored or co-authored over 200 scientific abstracts and publications.
6
11:30 am – Coronary Artery Disease and Angina
J. Jeffrey Marshall, MD, FACC, FSCAI
Medical Director, Cardiac Catheterization Lab,
Northeast Georgia Medical Center, Gainesville, GA.
Dr. Marshall has achieved many distinctions and awards in his medical profession from cardiac research, to Editorin-Chief of "Seconds Count", an educational website for patients. He was the former President of SCAI (The Society
for Cardiovascular Angiography and Interventions), and spearheaded the angioplasty and acute MI (STEMI)
programs at Northeast Georgia Medical Center (NGMC). His clinical interests include peripheral, carotid and
coronary interventional procedures and research in these areas. Dr. Marshall is board certified in Internal
Medicine, Cardiovascular Disease, and Interventional Cardiology.
12:00 noon – Panel Discussion/ Q & A – All Experts & Audience
12:45 pm - Light Lunch/Peer-to-Peer Networking
Gus Littlefield, President, Mended Hearts, Inc.
“Stroke: The Reality” Video (12 minutes)
1:45 pm –Clinical Trial Opportunities – Does it Fit for Me?
Kwabena Ayesu, MD,
Internist, Central Florida Regional Hospital, Orlando, FL
2:15 pm –Closing Remarks Dr. Fredonia B Williams,
Symposium Adjournment
A special thank you to the following sponsors for making this conference symposium possible:
GENERAL INFORMATION
2015 Mended Hearts Annual
Education and Training Conference
Orlando, FL
June 24 – 27, 2015
Join Mended Hearts members from across the country in Orlando, FL for a week of education,
networking and entertainment. You won’t want to miss this opportunity to connect with other
chapter members from across the nation. We sincerely hope that this information is helpful to
you in planning your trip to the 2015 Mended Hearts Annual Education and Training
Conference.
Hotel Reservations:
Please contact the hotel directly regarding your hotel accommodations. The Mended Hearts
negotiated room rate is: $134 Single/Double occupancy; $154 Triple occupancy; $174
Quadruple occupancy; plus the current rate of 12.5% for state and local taxes (subject to change).
Guest room rates are also available three days pre and post the official event dates and based on
availability. Reservations must be made by June 2, 2015 to secure the MHI room rate.
Buena Vista Palace Hotel & Spa
1900 Buena Vista Drive
Lake Buena Vista, FL 32830
407-827-2727 or 1-866-397-6516
(Refer to group name “Mended Hearts”)
Check in time: 4:00 p.m.
Check out time: 11:00 a.m.
Hotel Parking:
The Buena Vista Palace Hotel & Spa offers valet parking and is available at the hotel entrance.
Self-parking: Complimentary
Overnight Valet: $21 per day with in/out privileges. Parking is charged to guest room.
Hotel Cancellations:
Room cancellations should be made directly with the hotel within five days prior to your arrival
date to avoid credit card charges.
1
On-Site Hotel Services:
A daily hotel services charge of $21.95 plus tax is INCLUDED in the room rate. Hotel services
include:
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


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Wired and wireless in-room AT&T® High Speed Internet. (In-room WebTV® not
included.)
Cyber Café (24 hour access) located on the 1st floor of the main building.
Pool Ambassador, offering personalized pool amenities and services.
Daily Membership to the Fitness Center (guest room key required for entry) and Spa,
including unlimited use of Fitness Center Equipment, lockers, hot tubs, sauna and shower
facilities. Minimum age for Spa guests is 18 years. (Membership does not include Spa
treatments or services).
Weekday New York Times Newspaper available in lounge.
In room coffee and tea
FREE Disney Bus Transportation – Daily to Disney ® Theme Parks. (Magic Kingdom,
Epcot, Animal Kingdom, Hollywood Studio, Typhoon Lagoon and Blizzard Beach.
Nightly Transportation to Downtown Disney Marketplace and Pleasure Island
(Beginning At 6pm)
Registration Fee:
Registration must be received at the National office (postmarked or online) no later than May 1,
2015. Forms received prior to May 1, 2015 will receive the early bird rate of $210 per person,
plus a $7 online registration fee. This includes: One lunch and two dinners (with receptions),
registration fee for three days of sessions, take-home resources, and a tote bag filled with
conference goodies.
Late Convention Registration:
An additional $50 fee for late registration will be charged for applications received after May 1,
2015.
Meals:
The hotel has been provided with heart-healthy guidelines for meal preparations and will offer
healthy options when possible. Don’t forget to sign up for Farewell Dinner seating preferences
at the registration table upon check-in!
Attire:
Business casual attire is best for conference events. For the special awards dinner, we suggest
gentlemen wear a coat and tie, and ladies wear a dress or business attire.
Be sure to remember comfortable walking shoes for touring Orlando. Bring your sunglasses and
light backpacks for carrying sunscreen, bottled water and medications. MOST IMPORTANTLY
– REMEMBER YOUR CAMERA!
Weather in Orlando:
Average June temperatures in Orlando:
Average High
Average Low
90°F
72°F
2
Note: Humidity in the month of June is high. Be sure to have bottled water with you at all
times. June offers occasional showers, so please bring your umbrella.
Fitness Stroll:
No need to miss your regular morning walks! Join fellow Mended Hearts members, and walk
with Jim Oldfield (Chapter 230, Pontiac, Michigan, Ironheart Foundation) for several organized
walks throughout the week.
Health Screenings:
Health screenings will be available at no charge in the exhibit area.
Scooters:
Scooters will be available to rent. In order to provide the vendor an estimated head count, please
be sure to indicate scooter needs on your registration form under the “Special Requests” section.
Rental costs are $90 for 4 days (one-half the normal fee) and must be paid for in advance.
Transportation to and from Orlando International Airport – 17 miles from hotel:
Mended Heart is pleased to provide you with ground transportation between the Orlando
International Airport and the Buena Vista Palace Resort and Spa.
To book your ground transportation to and from the airport, copy and paste this link into your
web browser: https://www.hello-usa.com/tickets/mh15/index.asp This website is designed to
collect your flight information so we are better able to serve you upon arrival.
Shuttle Services will run on the following days and times:
June 24, 2015:
June 28, 2015:
9:30 AM – 3:30 PM
7:00 AM - 1:00 PM
Please provide your flight information no later than Sunday, June 7, 2015 to ensure that your
transfers are arranged.
Ground transportation will be provided on scheduled arrival and departure days only. If your
itinerary differs from Mended Hearts’ arrival and departure dates, you will be responsible for
arranging your own airport transportation. Taxis are readily available and cost approximately
$45 one-way.
3
Mended Hearts Education and Training
Annual Conference
Buena Vista Palace Hotel & Spa
June 24 – 27, 2015
REGISTRATION FORM
Registration forms must be received
no later than May 1st to avoid late fees.
Registration is also available online at www.mendedhearts.org.
ATTENDEE #1:
LAST NAME
FIRST NAME
PREFERRED NAME (FOR NAME BADGE)
CHAPTER#
MI
CHAPTER CITY, STATE
MAILING ADDRESS
CITY
STATE
HOME PHONE NUMBER
ZIP CODE
CELL PHONE NUMBER
E-MAIL ADDRESS:
YES
NO FIRST-TIME ATTENDEE?
YES
NO INTERESTED IN FIRST-TIME ATTENDEE WORKSHOP? (See enclosed)
YES
NO INTERESTED IN BEING A BUDDY TO A FIRST-TIME ATTENDEE? (See enclosed)
EMERGENCY CONTACT INFORMATION:
LAST NAME
HOME PHONE NUMBER
FIRST NAME
MI
CELL PHONE NUMBER
Please list any special dietary requests below:
(PLEASE NOTE – This is to indicate serious, medical food allergies and dietary restrictions, not food preferences.)
Are you interested in scooter rental information?
*Rental costs are $90 for 4 days (one-half the normal fee)
YES
NO
Please list any special medical conditions we need to be aware of:
_________
Conference Registration Form Page 1 of 1
ATTENDEE #2:
LAST NAME
FIRST NAME
PREFERRED NAME (FOR NAME BADGE)
CHAPTER#
MI
CHAPTER CITY, STATE
MAILING ADDRESS
CITY
STATE
HOME PHONE NUMBER
ZIP CODE
CELL PHONE NUMBER
E-MAIL ADDRESS:
YES
NO FIRST-TIME ATTENDEE?
YES
NO INTERESTED IN FIRST-TIME ATTENDEE WORKSHOP? (See enclosed)
YES
NO INTERESTED IN BEING A BUDDY TO A FIRST-TIME ATTENDEE? (See enclosed)
EMERGENCY CONTACT INFORMATION:
LAST NAME
HOME PHONE NUMBER
FIRST NAME
MI
CELL PHONE NUMBER
Please list any special dietary requests below:
(PLEASE NOTE – This is to indicate serious, medical food allergies and dietary restrictions, not food preferences.)
Are you interested in scooter rental information?*
*Rental costs are $90 for 4 days (one-half the normal fee)
YES
NO
Please list any special medical conditions we need to be aware of:
_________
Conference Registration Form Page 2 of 2
GUEST:
LAST NAME
FIRST NAME
PREFERRED NAME (FOR NAME BADGE)
CHAPTER#
MI
CHAPTER CITY, STATE
MAILING ADDRESS
CITY
STATE
HOME PHONE NUMBER
ZIP CODE
CELL PHONE NUMBER
E-MAIL ADDRESS:
YES
NO FIRST-TIME ATTENDEE?
YES
NO INTERESTED IN FIRST-TIME ATTENDEE WORKSHOP? (See enclosed)
YES
NO INTERESTED IN BEING A BUDDY TO A FIRST-TIME ATTENDEE? (See enclosed)
EMERGENCY CONTACT INFORMATION:
LAST NAME
HOME PHONE NUMBER
FIRST NAME
MI
CELL PHONE NUMBER
Please list any special dietary requests below:
(PLEASE NOTE – This is to indicate serious, medical food allergies and dietary restrictions, not food preferences.)
Are you interested in scooter rental information?*
*Rental costs are $90 for 4 days (one-half the normal fee)
YES
NO
Please list any special medical conditions we need to be aware of:
Conference Registration Form Page 3 of 3
HOTEL INFORMATION:
Please contact the hotel directly regarding your hotel accommodations. The Mended Hearts negotiated room rate is
$134 single/double; $154 triple; $174 quadruple occupancy + 12.5% state/local tax. Guest room rates are also
available three days pre and post the official event dates, based on availability. To receive the MHI negotiated rate,
reservations must be made prior to June 2, 2015. Please be sure to refer to the group name “Mended Hearts” when
making your reservation. For reservations, call Buena Vista Palace Hotel & Spa at 1-866-397-6516 or 407-827-2727.
Reservations must be cancelled within 5 days prior to day of arrival to avoid credit card charges.
REGISTRATION:
Registration includes one luncheon, two receptions and dinner; as well as coffee social hours every morning.
Registration must be received at the National office (postmarked or online) by May 1, 2015 to receive the early bird
registration fee of $210, plus a $7 online processing fee. *An additional late fee of $50 per person will be charged for
applications received after May 1, 2015:
Attendee #1
Attendee #1
Attendee #2
Attendee #2
Guest X
Guest
Registration $210 ($217 online) per person
X
= _______
$50 per person late fee (if applicable) * = _______
TOTAL AMOUNT DUE:
= ________
Please note: The conference committee has made every effort to keep costs as low and manageable as possible.
CANCELLATION POLICY:
100% refundable if cancelled prior to May 1, 2015
50% refundable if cancelled between May 2 and June 1, 2015
Nonrefundable after June 2, 2015 without National President approval
All refunds will be made in the manner payment was received.
METHOD OF PAYMENT:
1.
CHECK #_____________ AMOUNT: ___________ (Please make checks payable to The Mended Hearts, Inc. and noted for 2015 conference.)
2.
CREDIT CARD INFORMATION:
VISA
exp. date
MASTERCARD
UPON RECEIPT OF THIS FORM, THE CARD NUMBER PROVIDED WILL BE CHARGED THE FULL AMOUNT. PLEASE SEE
CANCELLATION POLICY ABOVE. NO REFUNDS WILL BE MADE AFTER JUNE 2, 2015, WITHOUT NATIONAL PRESIDENT
APPROVAL.
PLEASE RETURN TO NATIONAL OFFICE (POSTMARKED OR ONLINE) NO LATER THAN MAY 1, 2015 TO AVOID $50 LATE FEE.
The Mended Hearts, Inc.
8150 N. Central Expressway, M2248
Dallas, TX 75206
1-888-HEART99 (1-888-432-7899)
Online registration available at www.mendedhearts.org
Conference Registration Form Page 4 of 4
Buddy / First Timer Session
Registration Form
________ This is my first Mended Hearts Conference. I’m a “First Timer.”
________ Previously, I have attended at least one Mended Hearts Conference and I’m willing
to be a “Buddy.”
Sign up to be a “Buddy,” or a “First Timer.” You will be paired and can start to communicate
and get to know one another before the conference begins. You will meet for the first time
during the Buddy / First Timer Session. Our goal is to help you form a bond that will last far
beyond this event.
Enrollment form for Buddy and/or First Timer:
Name:________________________________________________________________________
Address:______________________________________________________________________
City:________________________________State:_________________ Zip:________________
Home Phone #:__________________________ Cell Phone #:___________________________
Email Address:_________________________________________________________________
Chapter #__________________ Age: _________________ Gender: _____Male ____Female
Profession:___________________________________ Retired:_______ Yes ______ No
Date / Type of cardiac event:______________________________________________________
Special interests / hobbies:________________________________________________________
_____________________________________________________________________________
We hope you will join us! Please complete and return this form to:
Mrs. Lynn Frierson
608 North Hills Drive
Johnson City, TN 37604
The Buddy / First Timer Session
Mended Hearts created the Buddy/First Timer System to help members attending the conference
for the first time feel welcome, comfortable—and get the most out of their conference
experience.
Here’s how the program works: If you are a “first timer” or are a veteran who has attended a
conference before and you are willing to be a “buddy,” then please return the completed
registration form. Each first timer will be paired with a buddy, and the buddy will call and/or
e-mail you prior to the event. Once your buddy has contacted you, you may ask questions,
exchange ideas and get to know each other before arriving in Orlando .
One of the first events on the conference schedule is a Buddy/First Timer session, where Buddies
and First Timers meet in person. Your buddy will be there to answer questions and introduce you
to people throughout the conference. Of course, you can ask questions of any conference
committee member or staff, as well as your buddy. With your buddy smoothing the way, you can
relax, have fun and enjoy the events. After all, it’s your conference!
If you have any questions, please feel free to contact us at 423-282-6058, or by email at
[email protected].
See you all in Orlando!
Lynn Frierson
MHI
Education
and Training
Conference
Information
Technology
Solutions
June 24—27, 2015
This year’s annual event, the Mended
Hearts Education and Training
Buena Vista Palace
Hotel & Spa
1900 Buena Vista Dr
Lake Buena Vista, FL
32830
407-827-2727
or
1-866-397-6516
Conference, will be hosted by the
Southern Region in Orlando, Florida!
This year’s event brin gs members and
leaders from across the country, and
Opportunities for participation:
 Purchase an ad in the Con-
ference Program Book
 Participate as an exhibitor
 Donate to send someone to
conference
 Donate towards the Mended
Little Hearts Bravery Bag
program
offers outstanding program s designed to
help you tackle current issues and prepare for future chapter growth
opportunities.
The Executive Committee of the National
Board of Directors encourages you to
show your support by attending and contributing to the success of this event. A
wealth of valuable learning materials and
insight on the latest
medical information will be offered for all
to bring back and share with others.
Mended Hearts, Inc.
8150 N. Central
Expwy, M2248
Dallas, TX 75206
www.mendedhearts.org
1-888-HEART-99
Support Mended Little Hearts Bravery Bag Program
This year, you can help families around the na on who
have children in the hospital a er heart surgery or other procedures by dona ng to the Mended Little Hearts
Bravery Bag Program. You can imagine the stress parents and caregivers feel as they sit by their child’s hospital bedside. Bravery Bags provide the family with items
to ease their stay and let them know they are not alone.
Dona ons for Mended LiƩle Hearts Bravery Bags may
be sent to the Na onal office in denomina ons of $10,
$20, $50, $100 or more.
You can also help put a smile on a child’s face
with our Buy One/Give One Bravery Lion. For
only $20, you can purchase one of these adorable lions and one will be put in a Bravery Bag for
a child in the hospital with a card with your
name on it.
“Buy One/Donate One” Bravery Lion A lis ng of members/chapters who donate items will
be included in the conference program book.
For ques ons, contact Jodi Lemacks, Na onal Director
of Mended LiƩle Hearts at 804-419-7028.
Zoey, age 3 weeks
Exhibiting Opportunities:
Your participation as an exhibitor will allow you to show off your chapter’s
success as well as provide key visibility and interaction with attendees. You
may elect to have drawings during exhibit hours with all proceeds returning to
the you and/or your chapter. We encourage you to distribute handouts and give
-a-ways during this time.
Chapter Exhibit Table Price: $50 for the week
Includes:
 One six-foot draped table
 Two chairs
 An opportunity to raffle an item as a fundraiser. Drawings must be
held during exhibit hours.
For additional exhibiting details contact:
Exhibit Chairman: Frank Cecco
Email: [email protected]
Telephone: 201-265-9296
Program Book Advertisement:
Acknowledge and/or memorialize a special Mended Heart or family member by purchasing an
ad in the 2015 Conference Program book.
All ads will be in black and white, and may be purchased in a variety of sizes.
Dimensions
Black/White
Cost
Full Page
(8 x 11)
$300
1/2 Page
(5.5 x 8.5)
$150
1/4 Page
(5.5 x 4.25)
$100
1/8 Page
(4.25 x 2.75)
$50
Booster
30 characters, 1 line $20
We can build your ad from materials you supply. All directions should be clearly typed or sent
in a text file, such as Microsoft Word. All supplied graphics and text should be of good quality
so it will look its best when printed. We can enlarge or reduce the size of your original art as
needed. However, the size of the original art should be as close as possible to the desired size
in order to avoid any possible distortion. If you already have an ad that you would like to use,
please send a quality printout on plain white paper, so we can scan the image.
The following electronic files are preferred: TIFF, JPEG, PDF
Program Book Advertisement Application:
Ad size:_________________________________________________________________
Amount Enclosed:_________________________________________________________
Name:___________________________________________________________________
Contact:__________________________________________________________________
Address:__________________________________________________________________
City:_________________________State:______________________ Zip:______________
Chapter #_____________ Email:_______________________________________________
Contact Phone Number:_______________________________________________________
Completed application with camera-ready black and white ad, and check must be returned no
later than May 1, 2015 to:
Daniel Moravec
10778 E. Highway 84
Axtell, Texas 76624-1427
[email protected]
254-863-5665
Orlando Tours
Mended Hearts has arranged for a variety of tours while you visit Orlando. For a listing of
all tours and sign up, go to https://www.hello-usa.com/tickets/mh15/index.asp
Tours will operate rain or shine.
Sign up must be completed NO LATER THAN June 7, 2015.
Once you sign up for a tour, a confirmation will be emailed to you within 3 business days of
completion. Tour confirmation is required to board buses and for admittance to all tours.
Please refer to your tour confirmation email for more detailed information.
Terms and Conditions
In the event that a tour is cancelled, you will be notified and given the option to book another
tour or receive a full refund. Hello Florida reserves the right to cancel any tour if the
minimum required is not met by the deadline date of June 7, 2015. All Tours are refundable
prior to June 7, 2015.
Mended Hearts Symposium
June 27, 2015
REGISTRATION FORM
Buena Vista Palace Hotel & Spa
Orlando, Florida
ATTENDEE:
LAST NAME
FIRST NAME
MHI Member Yes
or No
CHAPTER#
MI
CHAPTER CITY, STATE
MAILING ADDRESS
CITY
STATE
HOME PHONE NUMBER
ZIP CODE
CELL PHONE NUMBER
E-MAIL ADDRESS: ______________________________________________________________
ARE YOU INTERESTED IN BECOMING A MENDED HEARTS MEMBER?
Yes
or Not at this time
EMERGENCY CONTACT INFORMATION:
LAST NAME
FIRST NAME
HOME PHONE NUMBER
MI
CELL PHONE NUMBER
METHOD OF PAYMENT - $45 per Person
1.
CHECK #_____________ AMOUNT: ___________ (Please make checks payable to The Mended Hearts, Inc. noted for 2015 SYMPOSIUM.
2.
CREDIT CARD INFORMATION:
VISA
exp. date
MASTERCARD
UPON RECEIPT OF THIS FORM, THE CARD NUMBER PROVIDED WILL BE CHARGED THE FULL AMOUNT.
The Mended Hearts, Inc.
8150 N. Central Expressway, M2248
Dallas, TX 75206
1-888-HEART99 (1-888-432-7899)
Online registration available at www.mendedhearts.org
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