Conference Registration - Tennessee Public Health Association

Registration

2010 TPHA Annual Conference September 15-17, 2010

Registration Application

Deadline - September 1, 2010

You may register with a paper registration form available here - or you may register online below:

We accept

First Name*: Last Name*:

Degree(s)*:

Title*: Organization*:

Work Address : Address Line 2:

City: State: Zip:

Office Phone Fax Office Email

Do you prefer a vegetarian meal for the two luncheons? Yes No

Full Conference : Includes all sessions, meals, evening reception, and entertainment
TPHA Member $150 ($200 after September 1, 2010)
Non TPHA Member $180 ($230 after September 1, 2010)
(to become a member of TPHA, see below)
Do you plan to attend Thursday Evening Activities Yes No

Single Day Registration : If space is available - registrants for entire conference receive priority. Do NOT register for individual functions if you have registered for the full conference.
	TPHA Member Non-Member
Wednesday September 25, 2010
Sessions (includes lunch)	$75 $85

Thursday September 16, 2010
Sessions (includes Lunch)	$90 $100
Reception / Entertainment	$50 $60

Friday September 17, 2010
Sessions	$45 $55
Additional Guest Tickets
Thursday night tickets: @ $50 each


TPHA Membership Dues
First-time new member....... $30.00
Renewal Membership ..... $40 (includes $10 late fee)