First name: *

Last name: *

Organization (if applicable):

Phone: *

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Friday lunch (select one): *

Thursday, March 21

$0 (Free and open to the public. Registration requested.)

Friday, March 22 – Register on or before March 8

$29.00 for students and members of non-profit organizations
$65.00 for professionals
$0 Not attending Friday

Register after March 8

$59.00 for students and members of non-profit organizations
$95.00 for professionals
$0 Not attending Friday

Pay with credit card

Pay with check - make your check payable to MHA and mail to:
MHA, Attention: PSGM Conference, 600 W. Virginia St., Suite 502, Milwaukee WI 53204

I'm only attending Thursday (FREE)