HSTI REGISTRATION FORM

 

HSTI 2017
Online Registration Form
ONLINE Registration Closes - June 3

Please Read Instructions

  1. This form is for PURCHASE ORDERS only.  If you do not have a PO then arrangements can be made with Don Benton - bentond@hssd.net.
  2. Fill in this form completely, then Review your selections carefully before submitting to verify your registration selections.  Please check all spelling and workshop selections thoroughly.
  3. Once your registration is correct, use the SUBMIT button to process your registration and CONFIRM on the next page to ensure that your registration will be processed.
  4. All information is required.
  5. INCOMPLETE registration forms will NOT be processed.
  6. For groups using the same PO number - you must fill in all information for each individual then one invoice will be sent to the appropriate address for each different PO # used. NOTICE: You MUST confirm this registration page after you submit.

Registrant Information


First Name  Last Name 
Organization 
Job Title  Job Function 
   
 Work  Address
City  State
ZIP Code 
   
 Home Address 
City  State
ZIP Code 
   
Work Phone 
Home Phone
Fax
E-mail
Include an e-mail address to receive information via e-mail.

Conference Registration: Non-vendors Only. (Vendors must contact Don Benton-bentond@hssd.net)
You may use the same PO to pay for your Conference Fees and Pre-Conference Fees at the same time.

Register as Conference Attendee (June 14-15)                                     $175.00
Non-Conference Attendee (Pre-conference only)                                    $ 0.00

Pre-Conference Workshop Registration:

Please select your workshop from the drop down menus below.

You may need to view current availability by clicking the Pre-conference matrix link.  Registration will be on a first-come first-serve basis. If the workshop you desire doesn't appear then it is FULL.

Detailed information can be found on the pre-conference web site.

NOTE: If a workshop doesn't appear in the drop down menu then it is full!

Full Day Sessions

2-Day - Monday and Tuesday, June 12-13

SelectWorkshop

Descriptions

 

Two Day Workshop

 
1-Day - Monday,  June 12

 

One Day Workshop

 
1-Day - Tuesday,  June 13

OOne Day Workshop
 

 

 

 Payment Information

Purchase Order (Billing Information)
Invoices will be sent to the following location.  Fill out ALL information for proper processing. 

PO#           
Organization.:
Contact:      
Address:      
City:         
State:        
ZIPCode:      
Phone:        

Submit checks via mail to:
Attn: HSTI, 400 Linwood, Hot Springs, AR 71913

Cancellation Policy:
Cancellations must be made and received in writing by June 1 for Conference and by May 1 for pre-conference workshops. (email to: bentond@hssd.net or fax 501-620-7829).  Refunds will not be made after this date. After SUBMITTING you must CONFIRM your selections on the next page.


Review all selections. YOU MUST CONFIRM your Registration on the next page. -