SERC-NAHRO Annual Conference 2006
Exhibitor Registration Form

To register for the SERC-NAHRO Annual Conference June 24-27, 2007 in Tunica, MS please fill out the form below.  You will be given an opportunity to print the form upon submission.  This form should only be used to pay online via credit card.  If you wish to pay by check, please download and complete the Exhibitor Registration Packet.  Please be sure to thoroughly review the Exhibitor Registration Packet before registering.

SERC Registration c/o Madelyn Dotson
South Charleston Housing Authority
520 Goshorn Street
South Charleston, WV  25309		 For Questions please contact
Madelyn Dotson:
(304) 768-9315 ext 202

madelyndotson@yahoo.com

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Registration Fees:
Exhibitor/Professional Registration Fee - $750.00
  (Includes Two (2) Representatives - Includes tickets to all functions)
Name:  
Title:  
Badge Name:  
Exhibitor/Professional Registration Fee - $Free
  Included in Standard Fee above
Name:  
Title:  
Badge Name:  
Exhibitor/Professional Registration Fee No Booth - $650.00
  (Includes One (1) Representative - Includes tickets to all functions)
Name:  
Title:  
Badge Name:  
Additional Representative Fee - $150.00
  (Exhibitor, Professional, or Spouse - Includes tickets to all functions)
Name:  
Title:  
Badge Name: