HealthWatch Wisconsin Annual Conference 2013 Registration

Join us and fellow advocates, public health workers, nurses, social workers and many more health professionals from across the state for the sixth annual HealthWatch Wisconsin Conference!

Click here to for a printable registration form
(current prices are listed on the form)

- or -

Register online below (you will be rerouted to payment options upon clicking submit). If you select Yes require an invoice, it will be sent to the email address provided.

HealthWatch Wisconsin Annual Conference 2013   EmailMeForm HWW Conference Registration 2013 Complete this form to register for the 2013 HealthWatch Wisconsin Annual Conference First Name * Last Name * Position * Employer * Address 1 * Address 2 City * State * Zip Code * Email * Phone Number * Are you a current HealthWatch member or subscriber? * Please select Yes No If you selected No, would you like to join HealthWatch for the 2012-2013 membership year with your registration? Yes, I want to join HWW with my registration Which day(s) will you be attending the HWW Conference? * Please select Day 1 (Mon., Feb. 25) only Day 2 (Tues., Feb. 26) only Both Days Do you require an invoice? * Please select Yes No If you selected Yes, please provide an email address where you would like the invoice sent. (Leave this field blank if you would like it to go to the email above.) Do you have any special dietary restrictions? Do you require any other accommodations to make the conference more accessible? (Please note, ASL interpreter services are available for this event.) Powered byEMF Survey Report Abuse

Price Reference Index   Day 1 Day 2 Both Days Full Time Student $35 $60 $75 Current HWW member $79 $109 $189 Joining or Renewing member $109 $139 $219 Non-Member, Not Renewing $199 $249 $399