Home > Activities > Annual Symposium > Registration 2008 Symposium Registration To register for the 2008 NERHRT Symposium, please complete one of the forms listed below: Use Registration Form 01 to pay offline by mail Use Registration Form 02 to pay online with credit card Date & Time: October 16-17, 2008 Location: Sheraton Nashua, Nashua, New Hampshire Deadline: Completed form and payment must be received on or before September 26, 2008. After September 26th, add $20.00 per registration. Membership: Conference registration includes 2009 membership fee. Questions? Contact... Marion Pawlek, NERHRT Executive Director Phone: 603-643-2800 Email: mjpawlek@joimail.com Registration Form 01 (Complete this form to pay offline by mail) * Required Full Name * Title & Credentials * Organization * Mailing Address * City * State * Zip * Phone * Email * Individual Registrant (please select one) Full conference (October 16-17, 2008) Member Rate: $220.00 Non-Member Rate: $245.00 Student Rate: $90.00 Thursday only (October 16, 2008) Member Rate: $125.00 Non-Member Rate: $150.00 Student Rate: $50.00 Friday only (October 17, 2008) Member Rate: $125.00 Non-Member Rate: $150.00 Student Rate: $50.00 Questions/Comments (Please list any dietary restrictions) To pay offline (by mail) Registration Form 02 (Complete this form to pay online with credit card) * Required Full Name * Title & Credentials * Organization * Mailing Address * City * State * Zip * Phone * Email * Individual Registrant (please select one) Full conference (October 16-17, 2008) Member Rate: $220.00 Non-Member Rate: $245.00 Student Rate: $90.00 Thursday only (October 16, 2008) Member Rate: $125.00 Non-Member Rate: $150.00 Student Rate: $50.00 Friday only (October 17, 2008) Member Rate: $125.00 Non-Member Rate: $150.00 Student Rate: $50.00 Questions/Comments (Please list any dietary restrictions) To pay online (credit card) to top Copyright © New England Rural Health RoundTable    Design by SeaCoast Web Design