PHADA/Rutgers Executive Director Education Program

Registration Form for EDEP Courses
in San Diego, California, January 11-13, 2002

Name
First Name for Name Badge
Position
Housing Authority
Address
City State Zip

Phone

Your Email Address

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

Registration Fees
Please select payment category (one per registrant)

OPTION 1 - Jan. 11 ($650) - Personnel Management

OPTION 2 - Jan. 12 ($650) - Procurement and Contract Management

OPTION 3 - Jan. 13 ($650) - PHAS/SEMAP

OPTION 4 - Jan. 11-12 ($1,100) - Personnel Management and Procurement and Contract Management

OPTION 5 - Jan. 11 and 13 ($1,100) - Personnel Management and PHAS/SEMAP

OPTION 6 - Jan. 12-13 ($1,100) - Procurement and Contract Management and PHAS/SEMAP

OPTION 7 - Jan. 11-13 ($1,550) - Personnel Mangagement and Procurement and Contract Management and PHAS/SEMAP

Payment Information
Please select payment method

: Please bill my registration to one of the following credit cards:; Mastercard VISA American Express

Note: All credit card transactions are protected by secure server Credit Card Number [ex. 0000-0000-0000-0000]
Expiration Date [ex. mm/yy]
Name as it appears on Card

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

If you prefer to pay by check please make it payable to PHADA and mail it along with this registration form to: Executive Director Education Program; PHADA; 511 Capitol Court, NE; Washington, DC 20002-4937.