RegistrationPaymentSetup Attendee Name *This field is required. Name of Organization *This field is required. Address Line 1 *This field is required. City, State, Zip *This field is required. Office PhoneThis field is required. Cell PhoneThis field is required. Email *This field is required. Additional Attendee(s)This field is required.0 characters / 0 words Next 5x8 Exhibit Space (including 2 chairs, trash cans not provided) Early - $300This field is required.Late - $325This field is required.This field is required. QuantityThis field is required. Price Subtotal Additional Representatives $50This field is required.This field is required. QuantityThis field is required. Price Subtotal Door Prize Donation *YesNoThis field is required. Cart Total Pay By Check Pay By Credit Card Payment MethodThis field is required. Submit Credit or Debit CardThis field is required. Submit Payment Previous You will not be registered for this workshop until payment is received. Please print this page and mail with your check Checks and forms should be mailed to the address below. Make checks payable to GAHRA You have been registered for this conference. Please print this page as receipt of your registration. Charge ID: 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 There will be a $25 handling fee on any cancellation before July 1, 2025 and no refunds after July 1, 2025. Note: There is a separate charge for anyone who needs electricity for their booth. Please contact the hotel to have this scheduled and for a cost that the hotel charges for this service.