Registration Form w/ Check

2024 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:

Hailey Laws

Green County Human Services

N3152 State Road 81

Monroe, WI 53566

Phone: 608-328-9362

Fill out our WHSFMA Conference Registration Form below and pay with a check.

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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 - $225

Two-Day Conference – Wed & Thur - $190

Two-Day Conference – Thur & Friday - $190

Add-On Meal Rates (for non-registered conference guests only)

Banquet – Wednesday Evening

Breakfast – Thursday

Lunch – Thursday

Breakfast – Friday

Total

Phone

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