Conference Registration


You can register using our Online Registration Form below. You can pay for registration using a credit card or PayPal account using PayPal's secure payment system.

The Conference is being held this year at the Hyatt Regency Downtown. Hotel rooms for the Conference weekend can be booked by calling the Hyatt at 713-654-1234. The HCYPAA hotel room rate is $89/night, so be sure to tell them that you are with HCYPAA when booking your room to take advantage of this great rate.

HCYPAA XXIII Online Registration Form

Conference Attendee(s) Information

*Attendee 1:
(Please at least fill out your name here)
Attendee 2:
(Use this line if two people are registering together)
Street Address Line #1:
Street Address Line #2:
(if necessary)
City:
State:
Zip Code:

*Email:
(Email Address is Required for Contact Purposes;
We will Email you a Receipt)
Primary Phone Number:
Secondary Phone Number:

Would you be interested in Chairing a Marathon Meeting?: No     Yes    
Would you like to Volunteer at the Conference?: No     Yes    
Number of Previous Conferences Attended:

Registration Package Information

 

$15 Single Pre-Registration: Registration for the Conference

  
 

$25 Single Pre-Registration and T-Shirt: Registration for the Conference and Get a Discount on an Official HCYPAA T-Shirt

  
 

$30 Banquet Ticket: A Ticket to Attend the Fancy Dinner on Saturday Night of the Conference

  
 

$25 Silver Package: 2 Pre-Registrations Register with Someone Else at a Discount

  
 

$45 Gold Package: 2 Pre-Registrations and 2 T-Shirts Register with Someone Else at a Discount and Get Two T-Shirts

  
 

$105 Platinum Package: 2 Pre-Registrations, 2 Banquet Tickets and 2 T-Shirts Register and Get Banquet Tickets with Someone Else at a Discount and Get Two T-Shirts

  

Shirt Size: N/A     S     M     L     XL
(If you are selecting a package with a T-Shirt)
Second Shirt Size: N/A     S     M     L     XL
(If you are selecting a package with a Second T-Shirt)
Sponsorship/Donation Amount (optional):