2010 Commissioners' Conference

PHADA's Online Registration Form is processed on a secure server.
Please fill out the form below and submit it using the button at the bottom of the page.
(Submit a separate form for each registrant.)

First name
Last name
Badge name	(first name as you'd like it to appear on your name badge)
Position
Housing Authority
Address
City
State
Zip
Phone number
Email	(email address is required to receive confirmation)

Is this your first PHADA meeting?	Yes No
Do you plan to attend the EDEP Graduation Luncheon on Tuesday, January 12?	Yes No
Do you plan to attend the closing dinner on Wednesday, January 13?	Yes No
Do you require special services or assistance because of a disability?	Yes No

Registration Fees
Please select payment category (one per registrant)

$465 - Member
$575 - Non-Member
$180 - Spouse

Onsite registration will be available for $490 for members.

We are no longer accepting EDEP registration online for this conference.

EDEP registrants please note: On-site registrations are not accepted for the EDEP Program, and class size is limited to 40. Payment must be received in full to ensure enrollment. Substitutions may not be made for EDEP registrants. You will receive confirmation of your EDEP registration. If you do not receive a confirmation, please contact the PHADA office at (202) 546-5445. Refunds will be issued only to registrants who withdraw on or before December 14, 2009.

Payment Information
Please select payment method

Mastercard VISA American Express

Credit card*

Expiration date (month/year)*

Name as it appears on card*

Phone number*

Cancellations received in writing before Friday, December 11, 2009 will be refunded less a $100.00 administrative fee. Substitutions are welcome if notified in writing. There will be no refunds after December 11, 2009. No refunds are given for no-shows. BY SUBMITTING THIS REGISTRATION FORM YOU ARE AGREEING TO PHADA’s CANCELLATION POLICY.

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.

Disclaimer: PHADA endeavors to offer a wide range of quality programming and speakers for its conferences. If you have a suggestion for a speaker or topic, please let PHADA know by contacting Stephanie White at (202) 546-5445. Please note that the statements made by speakers and the materials distributed by the speakers are solely those of the speakers. PHADA does not endorse such statements or materials and disclaims any and all liability arising out of reliance on any speaker’s statements or materials.

If you do not wish to submit your registration online, you can print out the PDF Registration Form and fax it to PHADA at (202) 543-4381.

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