AttendeesPaymentSetup Attendee Name *This field is required. Badge Name *This field is required. Title *This field is required. T-Shirt Size *Select...SMLXL2XL3XLThis field is required. Registration Type *Early Conference Registration - $300Early Conference Registration (NonMember) - $325Conference Registration - $325Conference Registration (NonMember) - $350Late Conference Registration - $350Late Conference Registration (NonMember) - $375This field is required. NSPIRE Certification Add-On $145This field is required.This field is required. SubtotalThis field is required. Additional Attendee Remove RegSubtotal NSPIRESubtotal Cart Total Next Pay By Check Pay By Credit Card Payment MethodThis field is required. Primary Contact *This field is required. Agency *This field is required. Address One *This field is required. Address TwoThis field is required. City *This field is required. State *Select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingThis field is required. Zip *This field is required. Phone *This field is required. Email *This field is required. Confirm Email *This field is required. Submit Credit or Debit CardThis field is required. Submit Payment Cart Total Previous GAHRA 2025 Maintenance Workshop - Delegate Registration For questions or payments, please contact: GAHRA Registration c/o Joe Wisniewski Augusta Housing Authority 1435 Walton Way Augusta, GA 30901 email: jwisniewski@augustapha.org Telephone: 706-724-3710 Fax: 706-722-4522 Substitutions for registered participants may be made at any time. Refunds will be made for cancellations less than a $25 cancellation fee if a notice of cancellation is received in writing by fax (706) 724-3710 email jwisniewski@augustapha.org no later than 5:00 p.m. July 1, 2025. No refunds will be given after July 1, 2025. Should you have any questions concerning registration, please call Michael Allen at (229) 206-5773 or email mallen@shauthority.com or Joe Wisniewski at (706) 724-3710 or email jwisniewski@augustapha.org You will not be registered for this conference until payment is received. Checks and forms should be mailed to the address below. Make checks payable to GAHRA Please print this page and mail with your check You have been registered for this conference. Please print this page as receipt of your registration. Charge ID:
