Summit 2010

Summit Registration

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Registration Form

First Name:
Last Name:
Credentials:
(if any used)
Position/Title:
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REGISTRATION FEES
ACMHA Member Summit fees paid via MasterCard and Visa are accepted but incur a $12 surcharge included in the fee. (Note: 2012 ACMHA dues must be paid by January 31 to be eligible for this rate.) $462.00
Non-Member Professional Summit fees paid via MasterCard and Visa are accepted but incur a $12 surcharge included in the fee. $612.00
Spouse/Significant Other Summit fees paid via MasterCard and Visa are accepted but incur a $12 surcharge included in the fee. (Note: Meal/Social events only) $287.00
Wednesday Only Registration Summit fees paid via MasterCard and Visa are accepted but incur a $12 surcharge included in the fee. $312.00
Thursday Only Registration Summit fees paid via MasterCard and Visa are accepted but incur a $12 surcharge included in the fee. $312.00

Registration fee entitles attendees to all program materials and handouts, refreshment breaks, scheduled meals, and social functions.

First Time Attendee (Please check this box if this is your first ACMHA Summit)
I require vegetarian meals