Health Plan Executive Dinner Registration

To register for LAHP Health Plan Executive Dinner, please complete the form below.  

After the registration form is submitted, you will be asked to submit payment for your registration fee by credit card.


Registration Fee:

$249.00

Registration Deadline:

October 26, 2018

 


Payment is due upon registration.

No refunds or transfers will be made after October 26th.


Name *
Name
Address *
Address
Phone *
Phone