Conference Registration

West Virginia Directors of Senior and Community Services

Member registration is $175.00 per member.
(This includes agency director or designated representative and any associate member.)

Non-member registration is $275.00 per person.

Click Here to Download the PDF version of our Conference Registration Form

County*
Agency Name*
Director Name*
Email Address*
Conference Attendees - Members
MEMBER REGISTRATIONS:
Price: $175.00
Name
Name
Conference Attendees - Non Members
NON-MEMBER REGISTRATIONS:
Price: $275.00
Name
Name
Additional Lunch Guest (# of guests)
Price: $25.00
Additional Dinner Guest (# of guests)
Price: $30.00
3% Processing Fee*
Price: $0.00
TOTAL AMOUNT:
$0.00