Register :: 14th Annual African American/Latino Leadership Conference on HIV/AIDS

Conference Registration Fee: $25.00* a person
After August 15, 2009: $30.00 a person*

Student Registration Fee: $15.00*
(Students cannot register online as they must present valid student ID at time of registration)

*Please note:
There are no refunds on conference fees regardless of if you attend the conference or not. There is a $2.00 Online Processing Fee for each Online Registration. You may only register one person at a time!

Online Registrations

Now you can save time by conveniently Pre-Registering for the conference and paying your registration fees online using a debit or charge card. (Payment processing is done through Paypal.)

If you are registering multiple participants you will need to pay for and register them one at a time.

Students cannot register online as they must present valid student ID at time of registration.

Click button to Register & Pay Online*

*There is a $2.00 processing fee to pay by:

Paypal Logo

*Please note: If you experience any difficulties in registering online, please call Brad Hampton, our web coordinator, at Louisville Metro Public Health and Wellness HIV Prevention Services at: 502.574.8248. He will be happy to assist you with making the transaction.

Mailed Registrations

Please note: To guarantee you are included in the Pre-Registered List, mailed registration should be received by August 29, 2009.

Please make checks payable to: L.F.C.H.D./AAL Conference.

Please fill out the printable form, print this page and mail it along with your check to:

Beverly Mitchell
Dept. for Public Health
African American and Hispanic Leadership Conference
HIV/AIDS Branch
275 East Main Street
Mail Stop HS2E-C
Frankfort, Kentucky 40621

Download Printable Registration Form