2025 Conference Registration

Upon completion of this form you will receive an invoice with a secure payment link via email (from admin@hbpa.org). Please expect the invoice the next business day. Registration is not complete until payment is processed. If you have any questions or issues please contact Lauren by phone at 859-259-0451.
Invoice Option:*
Please note there will be 3% service charge for all credit card payments
- Pay with a check
- Pay with a credit card
- Conference Speaker
Representing Affiliate or Group:*
Attendee Name (As Preferred on Name Badge)*
First Last
Title (As Preferred on Name Badge)
Can we include your information on a attendee contact list?*
Contact Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Phone:*
Contact Email:*
Full registration, one-day registration, or speaker?*
- Full Registration
- One-Day Registration
- Conference Speaker
Number of Full Registrations*
(including yourself)
Number of One-Day Registrations*
Additional Attendees
Full Name (As Preferred on Name Badge) Position / Title
Date Attending*
MM slash DD slash YYYY
Add Additional Guest/Spouse Attendee?*
- Yes
- No
Guest/Spouse Registration Quantity*
Price: $225.00
Additional Attendees*
Full Name (As Preferred on Name Badge) Position / Title
Total
$0.00

Monday, February 24 - Welcome Reception

Full Name (As Preferred on Name Badge)	Position / Title

Full Name (As Preferred on Name Badge)	Position / Title