Attendee Online Registration

Registration Form
Wyoming Hospital Association/LeadingAge Wyoming
Annual Meeting & Convention
September 4 — September 5, 2019

Participant Information

Registration Fees
Preregistration deadline in August 14, 2019



Participants that pre-register for the meeting will receive a collectible preprinted name badge and a discount on their registration. Participants that register after the deadline will not receive the preregistration discount.

Registration fees include: Exhibitor Strolling Lunch; Chairman’s Reception; Awards Banquet, Breakfast on Thursday morning; Two (2) breaks on Thursday; Thursday Lunch and Educational meeting materials

Member registration is available only to those persons employed by an institution that is a member of the Wyoming Hospital Association. Advanced registration will be accepted by FAX, mail, online or by phone until August 31, 2018. After that date, a late registration fee of $20.00 will be assessed.

**Cancellation Policy: Registration fees are non-refundable unless WHA receives notice of cancellation by August 31, 2018. This applies to telephone/FAX
registrations as well. You will be billed whether or not you attend the program. If after registering for the meeting, you find yourself unable to attend, you
may send a person in your place provided they are employed by the same institution as you.

Please make checks payable to: Wyoming Hospital Association, 2005 Warren Avenue, Cheyenne, WY 82001

You may FAX your registration to WHA at (307) 632-9347

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