Red Lion Hotel Harrisburg Hershey
4751 Lindle Road
Harrisburg, PA  17111

September 15th, 2022 - Reception from 6 - 8 pm
September 16th, 2022 - Vendor exhibits during conference breaks and registration period

Question Title

* 1. Sponsorship Level - if you are participating at the Platinum or Gold levels, please email your camera-ready logo for us to use on the recongnition poster.  JPG or PDF files are the preferred file types.  Send them to pshfe@comcast.net

Question Title

* 2. Organization Name (as you want it reflected in the printed materials)

Question Title

* 3. Representative #1 - First Name

Question Title

* 4. Representative #1 - Last Name

Question Title

* 5. Representative #1 - Email Address

Question Title

* 6. Representative #2 - First Name

Question Title

* 7. Representative #2 - Last Name

Question Title

* 8. Representative #2 - Email Address

Question Title

* 9. If you are sending more than 2 representatives, please list their first and last names and email addresses here (additional registration fee of $30 per additional rep).

Question Title

* 10. Street Address

Question Title

* 11. City

Question Title

* 12. State

Question Title

* 13. Zip Code

Question Title

* 14. Phone Number

Question Title

* 15. Please list any special dietary needs and the name of the representative requesting it.

Question Title

* 16. Will you need a 6 foot skirted table in your display area?

Question Title

* 17. Will you be attending the Thursday evening reception?

T