2011 National WITHOUT CC Final

2011 National Conference (Miami, Florida)

Secure Registration Form

NO Credit Card Required at this time

Full name	*
First name (as preferred for badge)
Title
Company/Organization
Address	*
City
State
Zip
Phone	*
Fax
Email	*
Number of attendees

Pre-Conference Workshop Sign Up
Workshop (add $50 Unless you are a member of the Grantee Association OR LEHA)		Technical Assistance Workshop for Grantees on the Technical Aspects of Grant Implementation from Intake to Closeout ($50) Workshop on Child Lead Screening Strategies ($50) Workshop on Healthy Homes Asssesment and Remediation Protocols ($50) Workshop on Inspection and Clearance Protocols, and Low Cost Lead Hazard Control and Abatement Methods ($50)

Registration Rates (Good until January 31, 2011)
For 1 person: $365 / $335* For 2 persons from the same organization:: $345 per person / $315* per person For 3 persons from the same organization: $315 per person / $285* per person For 4 or more persons from the same organization: $285 per person / $255* per person * This rate is for a person whose organization is a member of one of the following organizations: - Lead and Environmental Hazards Association - National Association of Lead and Healthy Homes Grantees - American Public Health Association - National Environmental Health Association

Payment Amount (to be billed)	*
REGISTRATION CANCELLATION POLICY: Cancellations must be in writing. Refunds will be given to all requests received up to 72 hours before the first day of the conference, less a $45.00 cancellation fee. No refunds will be given for “no shows”.