California Association of Public Health Laboratory Directors
58th Annual Institute           April 14-16, 2008
Sacramento, CA

          R E G I S T R A T I O N  F O R M
 

 Name:                                       E-mail address: 
Institution:  
Address:    
City, State, Zip:   Telephone No.    Fax No.  

1. [ ] I will or will not [ ] be attending this year.

2. Arrival date and time:     

3. Departure date and time:  

4. I will be attending:[ ] Monday lunch [ ] Tuesday lunch [ ] Wednesday lunch
           Please indicate if you will need special meal arrangements:
                    [ ] Vegetarian [ ] Other _______________ 

5. Conferee Fees:
(Fees are waived for speakers & primary authors of posters on the day of their presentation)
              Full meeting cost is $400 (before April 7th)     $ __________
              OR - Daily @ $147.00 per day for______days = $ __________
6. *Association annual dues − $500                         $ __________


                                                 TOTAL:$ __________

(Enclose payment with registration)

Checks should be made payable to:CAPHLD (Calif Assoc of PH Lab Directors)Tax I.D. # 68-0026779

RESERVATIONS AND PAYMENTS MUST BE RECEIVED BY April 7, 2007

Send completed form and check to: 
Anthony H. Gonzalez, Ph.D., HCLD (ABB)
Director
Sacramento County Public Health Laboratory
4600 Broadway, Ste 2300
Sacramento, CA 95820




HOTEL RESERVATIONS SHOULD BE MADE DIRECTLY WITH Hilton Sacramento Arden West
 See cover letter for details.
 *Some members may elect to submit annual dues with registration payment