Meeting Fees: $550 each for the first two state agency registrants and $300 for each additional state agency registrant.
  No partial registration fee will be accepted.

$600 for each private sector registrant. 

Additional meals may be purchased for each guest not attending the meeting for a cost of:
Sunday reception $25 - Monday lunch $25 - Tuesday Awards luncheon $35.  

1st Representative Name   
2nd Representative Name 
Additional Attendee              
Additional Attendee              
Additional Attendee              
Additional Attendee              



Organization 
 
Address 
Phone Number    E-Mail Address 
                                                                                (For Billing)

Method of payment: Check in process  Invoice requested

Total amount 

Please make checks payable to AHFSA and mail to:
            AHFSA
            5105 Solemn Grove Rd.
            Garner, NC 27529

Email the registration  information to: rgoodnow@bellsouth.net                                                                                                                                       (Top)