2017 Governor's Housing Conference Registration Form
2017 Governor’s Housing Conference Registration Form Name: _______________________________________________________________________________ (First)
(Middle Initial)
(Last)
Mailing Address: _______________________________________________________________________ (Street Number)
_____________________________________________________________________________________ (City)
(State)
Phone: (_______)___________________________
(ZIP)
E-mail: ________________________________
Organization/Company Name: ___________________________________________________________ Category (circle one): Advocate Nonprofit
Builder Planner
Developer REALTOR®
Elected Official Student
Lender
Speaker
Other
Website (optional): ____________________________________________________________________ Registering as (circle one):
Individual
Is your payment part of a group check?:
Group
Yes
No
Yes
No
(Each group member must fill out a separate registration form)
Are you a Conference Sponsor or Exhibitor?:
If not, would you like to review sponsorship opportunities or learn more about being an exhibitor? Contact Patricia M. Smith at (615) 815-2185 or [email protected] for more information. Do you plan to attend the opening luncheon?:
Yes
No
Do you plan to attend the Evening Reception in the Exhibit Hall?:
Yes
No
Do you plan to attend the Tennessee’s Best Awards Lunch?:
Yes
No
The early registration cost is $225, regular registration is $275, and on site registration is $300. To pay with a credit card, please register online at TNGHC.com. Checks and money orders are accepted. Please make checks payable to THDA. Mail this completed form with payment or request for invoice to:
Tennessee Housing Development Agency Governor’s Housing Conference Andrew Jackson Building Third Floor 502 Deaderick St. Nashville, TN 37243
(Middle Initial)
(Last)
Mailing Address: _______________________________________________________________________ (Street Number)
_____________________________________________________________________________________ (City)
(State)
Phone: (_______)___________________________
(ZIP)
E-mail: ________________________________
Organization/Company Name: ___________________________________________________________ Category (circle one): Advocate Nonprofit
Builder Planner
Developer REALTOR®
Elected Official Student
Lender
Speaker
Other
Website (optional): ____________________________________________________________________ Registering as (circle one):
Individual
Is your payment part of a group check?:
Group
Yes
No
Yes
No
(Each group member must fill out a separate registration form)
Are you a Conference Sponsor or Exhibitor?:
If not, would you like to review sponsorship opportunities or learn more about being an exhibitor? Contact Patricia M. Smith at (615) 815-2185 or [email protected] for more information. Do you plan to attend the opening luncheon?:
Yes
No
Do you plan to attend the Evening Reception in the Exhibit Hall?:
Yes
No
Do you plan to attend the Tennessee’s Best Awards Lunch?:
Yes
No
The early registration cost is $225, regular registration is $275, and on site registration is $300. To pay with a credit card, please register online at TNGHC.com. Checks and money orders are accepted. Please make checks payable to THDA. Mail this completed form with payment or request for invoice to:
Tennessee Housing Development Agency Governor’s Housing Conference Andrew Jackson Building Third Floor 502 Deaderick St. Nashville, TN 37243
