REGISTER TO BE A MEMBER:

 

You can register with your check or money order (in USD), and mail it, along with this form, to HPTH Association Inc., P.O. Box 2258, Idaho Falls, ID  83403. 

 

I would like to become a member:

§  1 yr……….. $25.00

§  2 yr……….. $45.00 

§  Lifetime…….$210.00 

Name:________________________Phone:_________________E-mail:_________________

Mailing address:_____________________________________________________________

_________________________________________________________________________

Additional members:_________________________________________________________     

                                                                                                Total $_______________(in USD)

 

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TO REGISTER FOR THE CONFERENCE: 

 

You can register by check or money order (in USD), you can mail it along with form below to: HPTH Association Inc., P.O. Box 2258, Idaho Falls, ID 83403.

 

Date of Registration:__________________________________

Name: _________________________________________Phone: ___________________

Mailing Address: ___________________________________________________________

_______________________________________________________________________

E-mail Address: _________________________________

Conference______________$75.00 Per Person / Banquet:_____________$25.00 Per Person

Names of people attending: _____________________________

                                         _____________________________

                                         _____________________________

                                         _____________________________

                                         _____________________________

I am already a paid member:________________(subtract from Conference Fee accordingly)

                                                     (enter type of membership)                             

§  1 year membership.......................subtract $10.00 from Conference Fee

§  2 year membership.......................subtract $10.00 from Conference Fee

§  Lifetime membership....................subtract $15.00 from Conference Fee

 

§  Before April 1st - subtract $10.00 from Conf. fee for each person attending.

§  After April 1st but before May 1st - subtract $5 Conf fee for each person attending.

§  After May 1st - no discount.

 

All discounts will be calculated based on the postmark of the registration.

 

Enclosed is my check/money order for:                                  Total $ ______________ (in USD).

 

No refunds will be given. In the event of cancellation your conference and banquet registration fees will be converted to a tax-deductible donation.