Connecticut Housing Coalition
2008 Annual Conference
 Housing Now! Solutions Ready!
Wednesday, October 15th ◊ Connecticut Convention Center, Hartford

Instructions:
1. Please complete this form .
2. Print out your completed form .
3. Click "Submit" at the bottom of the page to reserve your space at the conference.
4.  Mail in printed form with your payment.
 

First Name :                        Last Name: 
 
Organization:                
 
Address:                         
 
City:                                           State:         Zip: 
 
Phone:                              ext.   Email: 

Registration Fees  
(includes Continental breakfast, luncheon and reception)

 Regular Registration - postmarked after October 1rst
 $110 Coalition members and members of co-sponsoring organizations
$125  Non-members
                                                   
I am a member/participant in:                       

CHC CAN CAR CARC
CCDA CCEH CMBA CONN-NAHRO

CSH

 CT-HBA CT-PHRN PSC

Luncheon Choice:

Roasted Herb Chicken Grilled Vegetables Mozzarella

Workshop Choices:            10:45 A.M.       1:30 P.M.     2:45 P.M.  

Please refer to the brochure for workshop selections - This does not bind you to your selection, but helps us plan better.

Enclosed is my check payable to Connecticut Housing Coalition

Number of Registrations
x Registration fee other amount
+ Membership fee

Total

Please print this form (to mail in with your payment) and then click the Submit button.  We regret that we do not have the ability to accept credit card payments at this time.


     

Special Notes:

In order to qualify for the lower rate as a Connecticut Housing Coalition member, you must have paid your 2008 dues or join as a new member now. (Click here for membership form)

Scholarships available for low-income individuals and students.
Please call 860-563-2943 x20 for more information

There will be no refund of registration fees for cancellations made after October 3rd.

Please return payment and registration to:
Connecticut Housing Coalition
Conference Registration
30 Jordan Lane
Wethersfield, CT 06109