Keystone Health Promotion Conference
2008 Conference | June 18-21 | Lebanon Valley College 2007 Conference | June 18-21 | Lebanon Valley College 2007 Conference | June 18-21 | Lebanon Valley College Helping health educators and others stay informed for more than XX years.
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20 Years of Inspiration

Register Online Today!
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Register Online
Please complete the form below to register online. You may also download a brochure to return your registration by mail.

Note:
If you are registering more than one participant for the conference, you must complete the form once for each participant.
REGISTRATION FEES
$275
Full conference, includes private dorm lodging & meals
$125
Tuesday OR Wednesday includes meal
$150
Non-participating guest fee
Your Name (First, Last)
Name of Guest (First, Last)
(if applicable)
Organization
or School
Address

City
State Zip Code
Phone
(ex. xxx-xxx-xxxx)
E-mail
 
Please list any dietary or facility concerns you have:
 
 
Please check one of the following:
  $275 - Full conference, includes private dorm lodging and meals
Housing costs are provided by a conference sponsor; therefore, no discount registration fees will be given.
  Individual days (no lodging)
       $125 - Tuesday, includes meals
       $125 - Wednesday, includes meals
       $125 - Thursday, includes meals
 
Please tell us if you are bringing a guest:
  $150 - Guest Fee (nonparticipating)
Please note: If registering after June 6, 2008, or on-site, please add $30.
No individual will be permitted to attend the conference unless full payment or a guarantee of full payment has been received. The registration fee covers the cost of the conference programs and on-campus meals. There will be a $25 processing charge assessed for cancellations. No refunds after June 6, 2008.
   
Workshops Options
Please select one workshop per session:
Session I
101 102 103 104 105  
Session II
201 202 203 204 205  
Session III
301 302 303 304 305 306
Session IV
401 402 403 404 405  
Session V
501 502 503 504 505  
Session VI
601 602 603 604 605  
Intensive
Training
IT01 IT02 IT03 IT04    
 
Payment Information:

Please select the type of payment to be used:  

 

  
Enter your credit card number:
  (no dashes - ex. 1234567890123456)
   
Enter your card's expiration date:
  Month      Year
   
Emergency Contact Information:
  Name
  Phone (ex. xxx-xxx-xxxx)
Requested Roommate:
Name
   
Would you like information on registering for 3 graduate credits through Penn State Harrisburg?
  Yes, please send me information.
  No, thank you.