Registration Form w/ Check - WHSFMA 2026 Conference Registration & Check Payment

2026 Conference Registration & Check Payment

To Register for the Conference and pay with a check, you must complete the registration form below for each individual attending. Payment may be mailed into the address below. Click here to Register & pay with a credit card. Be sure to include payment for additional meals requested for non-registered guests. Fees are non-refundable for no-shows.

Make Checks Out Payable To: WHSFMA Conference

Checks can be sent to:

Price County Health and Human Services
Attn: Keri Hammond
104 South Eyder Avenue
PO Box 88
Phillips, WI 54555

If you have any questions, please reach out to Keri Hammond at: keri.hammond@pricecounty.wi.gov

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County
Agency Name*
Name*
First Last
Job Title*
Email*

Address*
Street Address Address Line 2 City State ZIP Code

Phone*
Extension

Choose a Group

Registration Fees (includes all breaks/meals for the day you register):

Full Conference – Wed, Thur, Fri - $250

Two-Day Conference – Wed & Thur - $210

Two-Day Conference – Thur & Friday - $210
Add-On Meal Rates (for non-registered conference guests only)
Banquet – Wednesday Evening
Breakfast – Thursday
Lunch – Thursday
Breakfast – Friday
Total