PHADA 2001 Annual Convention & Exhibition
Conference Registration Form
Please fill out the form and submit it using the button below. (Submit a separate form for each registrant, including each spouse). See the Hotel and Travel page for instructions on registering for the hotel.
Name
First Name for Name Badge
Position
Housing Authority
Address
City
State Zip

Your Email Address

Is this your first PHADA conference?
Yes No (Please select one)

Registration Fees
Please select payment category

    $365 - Early-Bird PHADA Member (on or before April 5)
    *$365 - Early-Bird Non-Member (on or before April 5)
    $135 - Early-Bird Spouse (on or before April 5)

    $390 - PHADA Member (after April 5)
    *$390 - Non-Member (after April 5)
    $145 - Spouse (after April 5)

* Special rate for non-member housing authorities. See details at http://www.phada.org/acspecof.html.

Non-Member Web Access
Non-members can register a username and password here for access to Advocate articles, alerts and other valuable housing resources. Choose your own username and password and remember to keep a copy of the information for yourself. You will be asked for this information when accessing member-only pages.

Selected Username
(up to 10 characters) (letters and numbers only)
Selected Password
(up to 10 characters) (letters and numbers only)

Payment Information
Please select payment method

   Please bill my registration to the following card:
    Mastercard VISA American Express

Credit card transactions protected by secure server Credit Card Number
[ex. 0000-0000-0000-0000]
Expiration Date [ex. mm/yy]
Name as it Appears on Card
Your Phone Number

There will be a $50 processing fee deducted from all refunds.

NOTE FOR SUBMITTING MULTIPLE REGISTRATIONS: Please enter the information for the first registrant and submit it using the button below. After getting a message that your registration is submitted, use the "back" or "previous" button on your browser to return to the registration form. At that point, simply type in new information over the old and resubmit the form for each new registrant. Thank you.

About the Conference | Special Non-Member Offer | Hotel and Travel | Annual Convention Home | Meetings | PHADA Front