2008 Washington State Joint Conference on Health

On-Line Credit Card Payment Form
**Netscape or Internet Explorer Required**
A number must be entered under quantity

Please Note: If you are paying for more than one registration by credit card and/or the registrant's name is different from that of the credit card holder, please e-mail Kathy Kondakjian to let her know.  Credit card transactions come in separate from the registration forms and may not match-up if the name on the card is different from that of the registrations. You may be asked to provide a list of registrant's names being paid by the credit card.  Please e-mail Kathy at  kathy@wspha.org if you have any questions.  Please verify memberships with registrant or Kathy before processing credit card payments. 

Product Description Cost Quantity 
(input a number)
Break Sponsor: Monday Morning 10/6/08

$250

Break Sponsor: Monday Afternoon 10/6/08

$250

Break Sponsor: Tuesday Morning 10/7/08

$250

Break Sponsor: Tuesday Afternoon 10/7/08

$250

Break Sponsor: Wednesday morning 10/8/08

$250

JCH Sponsorship - Contributor Level

$500

JCH Sponsorship - Sponsor Level

$1100

JCH Sponsorship - Key Level 

$1501

Exhibitor Fee: Full Registration (commercial/gov./state/county)

$450

Exhibitor Fee: Non-Profits Full Registration (academic/non-profit 501c3)

$300

Exhibitor Fee: Healthy Food Show (currently closed)  

Exhibitor Fee: Additional Person (No presenters)

$150

Full Registration: Military Personnel Discount

$210

Full Registration: Regular Fee

$260

Full Registration: Discounted Fee (WSPHA Member only) $210

Full Registration: Student Fee $150

Full Registration: Discounted Student Fee (WSPHA Member only) $100
Full Registration: Retired Fee $150
Full Registration: Discounted Retired Fee (WSPHA Member only) $100
Full Registration: Late Fee after 9/22/08 $275
Full Registration: Discounted Late Fee (WSPHA Member only) after 9/22/08 $225
One Day Registration: Regular Fee $175
One Day Registration: Discounted Fee (WSPHA Member only) $125
One Day Registration: Student Fee $110
One Day Registration: Discounted Student Fee (WSPHA Member only)   $60
One Day Registration: Retired Fee $110
One Day Registration: Discounted Retired Fee (WSPHA Member only)   $60
One Day Registration: Late Fee after 9/22/08 $195
One Day Registration: Discounted Late Fee (WSPHA Member only) after 9/22/08 $140