2000 Legislative Conference Registration

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)

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

Your Email Address

How many units (PH + Sec. 8) does your HA have?

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

Registration Fees
Please select payment category (one per registrant)

: $250 - Member/Nonmember; $275 - On-Site; $50 - Spouse

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
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.