2017 National WITH CC

2017 National Conference (Indianapolis, IN)

Secure Registration Form

Credit Card Required

* Most fields are required

Will you be attending the HUD Program Manager’s School portion of the conference program?

Yes No

Full name

First name
(as preferred for badge)

Title

Company/Organization

Address
(where credit card is authorized)

City

State

Zip

Phone

Fax

Number of attendees

Pre-Conference Workshop Sign Up

Workshop (add $45)

Workshop on Lead Hazard Control and Healthy Housing Techniques, including the changes to the HUD Lead Hazard Control Guidelines ($45)
Workshop on Grant Management Issues – from Intake to Closeout ($45)
None

Registration Rates

After February 28, 2017

Number Attending	Regular Rate	LEHA Members
For 1 person from an organization	$325	$275
For 2 or 3 persons from an organization	$300 per person	$250 per person
For 4 or more persons from an organization	$275 per person	$225 per person
For current HUD Grantees and Sub-grantees	$165 per person *	$165 per person *

*The $165 registration rate is only available to HUD grantees and subgrantees who are required to attend the conference which incorporates the HUD Program Manager’s School.

Payment Amount
(to be charged)

Credit card number

Card Code (CCV) - Typically on back of card

Exp Month (Numeric)
example 01 = January

Exp Year (Numeric) example 2013

Name on card

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”.