Home / Upcoming Events / Indiana Council 2022 Winter Quarterly Meeting / 2022 Indiana Council Winter Conference Registration2022 Indiana Council Winter Conference Registration Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastTitle *Email *Phone *Are you a new employee of your CMHC? *YesNoCenter/Organization *Address *Address Line 1Address Line 2CitySelect StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAdditional Attendee(s)NameFirstLastTitleEmailPhoneAre you a new employee of your CMHC?YesNoNameFirstLastTitleEmailPhoneAre you a new employee of your CMHC?YesNoNameFirstLastTitleEmailPhoneAre you a new employee of your CMHC?YesNoNameFirstLastTitleEmailPhoneAre you a new employee of your CMHC?YesNoNameFirstLastTitleEmailPhoneAre you a new employee of your CMHC? (copy)YesNoFee Level: *Virtual Attendee - $160.00Member: Early Bird - $160.00Member: w/in 7 Days - $170.00Non-Member: Early Bird - $170.00Non-Member: w/in 7 Days - $180.00CMHC Alumni - $0.00Register
