2026 FACHC Health Center Fiscal Summit – Attendee Registration – Florida Association of Community Health Centers

2026 Fiscal Summit, November 5-6, 2026 at Orlando World Center Marriott in Orlando Florida

Step 1 of 3

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Registration Point of Contact

Please provide the contact information for the person placing the registration order. This ensures invoices and receipts are delivered appropriately.

Name(Required)

Salutation First Name Last Name

Title(Required)

Email(Required)

Phone(Required)

Health Center/Organization(Required)

Other Health Center/Organization(Required)

Registration Options

Please complete all fields for the Attendee(s) you are registering.

How many attendees do you need to register?(Required)

Please enter a number from 1 to 5.

You may register up to five (5) Attendees at one time.

Attendee # 1 Name(Required)

Salutation First Name Last Name

Attendee #1 Ticket Type: (Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $500

Single-Day, In-Person Registration (11/6 - UDS Only) - $475

Single Day, Virtual UDS ONLY Registration (11/6) - $475

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $785

Attendee #1 Ticket Type: (Non-Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $650

Single-Day, In-Person Registration (11/6 - UDS Only) - $600

Single Day, Virtual UDS ONLY Registration (Friday, 11/6) - $600

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $925

Attendee #1: Which Day 1 Track are you planning to attend?(Required)

Billing & Coding

Fiscal Operations

Both, Billing & Coding and Fiscal Operations

Attendee #1 Title(Required)

Attendee #1 Email(Required)

Attendee #1 Phone(Required)

Attendee #1 Dietary Restrictions?(Required)

If no dietary restrictions, please type NONE or NA.

Attendee # 2 Name(Required)

Salutation First Name Last Name

Attendee #2 Ticket Type: (Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $500

Single-Day, In-Person Registration (11/6 - UDS Only) - $475

Single Day, Virtual UDS ONLY Registration (11/6) - $475

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $785

Attendee #2 Ticket Type: (Non-Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $650

Single-Day, In-Person Registration (11/6 - UDS Only) - $600

Single Day, Virtual UDS ONLY Registration (Friday, 11/6) - $600

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $925

Attendee #2: Which Day 1 Track are you planning to attend?(Required)

Billing & Coding

Fiscal Operations

Both, Billing & Coding and Fiscal Operations

Attendee #2 Title(Required)

Attendee #2 Email(Required)

Attendee #2 Phone(Required)

Attendee #2 Dietary Restrictions?(Required)

If no dietary restrictions, please type NONE or NA.

Attendee # 3 Name(Required)

Salutation First Name Last Name

Attendee #3 Ticket Type: (Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $500

Single-Day, In-Person Registration (11/6 - UDS Only) - $475

Single Day, Virtual UDS ONLY Registration (11/6) - $475

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $785

Attendee #3 Ticket Type: (Non-Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $650

Single-Day, In-Person Registration (11/6 - UDS Only) - $600

Single Day, Virtual UDS ONLY Registration (Friday, 11/6) - $600

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $925

Attendee #3: Which Day 1 Track are you planning to attend?(Required)

Billing & Coding

Fiscal Operations

Both, Billing & Coding and Fiscal Operations

Attendee #3 Title(Required)

Attendee #3 Email(Required)

Attendee #3 Phone(Required)

Attendee #3 Dietary Restrictions?(Required)

If no dietary restrictions, please type NONE or NA.

Attendee # 4 Name(Required)

Salutation First Name Last Name

Attendee #4 Ticket Type: (Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $500

Single-Day, In-Person Registration (11/6 - UDS Only) - $475

Single Day, Virtual UDS ONLY Registration (11/6) - $475

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $785

Attendee #4 Ticket Type: (Non-Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $650

Single-Day, In-Person Registration (11/6 - UDS Only) - $600

Single Day, Virtual UDS ONLY Registration (Friday, 11/6) - $600

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $925

Attendee #4: Which Day 1 Track are you planning to attend?(Required)

Billing & Coding

Fiscal Operations

Both, Billing & Coding and Fiscal Operations

Attendee #4 Title(Required)

Attendee #4 Email(Required)

Attendee #4 Phone(Required)

Attendee #4 Dietary Restrictions?(Required)

If no dietary restrictions, please type NONE or NA.

Attendee # 5 Name(Required)

Salutation First Name Last Name

Attendee #5 Ticket Type: (Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $500

Single-Day, In-Person Registration (11/6 - UDS Only) - $475

Single Day, Virtual UDS ONLY Registration (11/6) - $475

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $785

Attendee #5 Ticket Type: (Non-Members)(Required)

Single-Day, In-Person Registration (11/5 - Fiscal Summit Only) - $650

Single-Day, In-Person Registration (11/6 - UDS Only) - $600

Single Day, Virtual UDS ONLY Registration (Friday, 11/6) - $600

2-Day Combo, In-Person Registration (11/5 Fiscal Summit & 11/6 UDS) - $925

Attendee #5: Which Day 1 Track are you planning to attend?(Required)

Billing & Coding

Fiscal Operations

Both, Billing & Coding and Fiscal Operations

Attendee #5 Title(Required)

Attendee #5 Email(Required)

Attendee #5 Phone(Required)

Attendee #5 Dietary Restrictions?(Required)

If no dietary restrictions, please type NONE or NA.

Total

Billing

Total

Do you have a coupon code?

Coupon codes are not case sensitive.

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

Billing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

All requests for refund must be made in writing to Nicole Rechner at nrechner@fachc.org on or before Friday, October 9, 2026. No refunds will be issued after this date. All eligible refund requests will be subject to a $50 administrative fee. Substitutions are welcomed and strongly encouraged.(Required)

I acknowledge and agree to the above stated refund & substitution policy.