MANHA Convention MANHA Member Administrators QuantityIncludes all educational sessions (total 20 CEUs –9 possible PC CEUs) & social functions, 3 breakfast, 2 lunch, 1 reception & breaks - $395 Price: $395.00 Quantity Prospective MANHA Member QuantityIncludes all educational sessions (total 20 CEUs –10 possible PC CEUs) & social functions, 3 breakfast, 2 lunch, 1 reception & breaks - $495 Price: $495.00 Quantity Staff/Associate Members /Spouse QuantitySame as Member Administrator (no Administrator CEUs), Certificate of Attendance - $275 Price: $275.00 Quantity Monday Only QuantityIncludes educational sessions (total 7 CEU’s including 1.5 PC CEU’s), lunch and breaks - $180 Price: $180.00 Quantity Tuesday Only QuantityIncludes educational sessions (total 7 CEU’s including 3 PC CEU), lunch and breaks - $180 Price: $180.00 Quantity Sunday or Wednesday Only QuantitySunday Includes educational session (Total 3.5 PC CEU’s) and breaks. Wednesday includes educational session (total 2.5 CEU’s including 1 PC CEU’s) Breakfast and breaks. - $115 (each day) Price: $115.00 Quantity Total Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Name First Last E-mail Address FacilityPackageAdmin #Method of Payment(Required) Check Credit Card Invoice sent to Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name