Attendee Online Registration

Registration Form
Wyoming Hospital Association/LeadingAge Wyoming
Annual Meeting & Convention
September 8-9, 2021

Participant Information

Registration deadline is August 16, 2019

Member Registration—$250.00

Non-Member Registration—$375.00

Participants will receive a collectible preprinted name badge their registration.
You must register by August 16 to receive the preprinted name badge

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.

*Member registration is available only to those persons employed by an institution that is a member of the Wyoming Hospital Association.

**Cancellation Policy: Registration fees are non-refundable unless WHA receives notice of cancellation by August 16, 2021. 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

Please Note: If you pay by credit card and request a refund, the fees associated with the transaction will be credited from you payment.

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

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