2011 African American and Hispanic Leadership Conference on HIV/AIDS

REGISTRATION

Onsite registrations will be available during the conference but we encourage you to consider Pre-Registering for the conference.

Early Registration Fee: $50.00 until September 15, 2011
Late Registration Fee: $60.00

To Pre-Register and pay your fee online, please click here. Note there is a $2.00 fee to pay online. 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. Thank you.

Mailed Pre-Registrations should be received by October 20, 2011 to guarantee you are included in the Pre-Registered List.

Please make checks or money orders payable to: LFCHD/AAHLC

Please complete the Download Printable Registration Form, print the page and mail it to:
Department for Public Health
HIV/AIDS Conference
275 East Main Street HS2E-C
Frankfort, KY 40621-0001

You may also fax your completed Download Printable Registration Form registration form to:  (502) 564-9865.

For more information, please call Beverly, Merinda, or Michael at 1-800-420-7431.