Regular 2023 SEHIA Registration for 1-4 Attendees

Attendee 1*

First NameLast Name

Attendee 1 Cell Phone (needed for SEHIA app before and after conference)*

Please enter a valid phone number.

Attendee 1 Email*

example@example.com

Attendee 1 Charge

Attendee 1 Total Charge

Attendee 2

Attendee 2 First NameAttendee 2 Last Name

Attendee 2 Cell Phone (needed for SEHIA app before and after conference)

Please enter a valid phone number.

Attendee 2 Email

example@example.com

Attendee 2 Charge

Attendee 2 Total Charge

Attendee 3

Attendee 3 First NameAttendee 3 Last Name

Attendee 3 Cell Phone (needed for SEHIA app before and after conference)

Please enter a valid phone number.

Attendee 3 Email

example@example.com

Attendee 3 Charge

Attendee 3 Total Charge

Attendee 4

Attendee 4 First NameAttendee 4 Last Name

Attendee 4 Cell Phone (needed for SEHIA app before and after conference)

Please enter a valid phone number.

Attendee 4 Email

example@example.com

Attendee 4 Charge

Attendee 4 Total Charge

Agency Name*

Agency Phone Number*

Please enter a valid phone number.

Agency Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of Agency Person Responsible to Pay Registration Fee*

Pay Registration First NamePay Registration Last Name

Email of Person Responsible to Pay Registration Fee*

example@example.com

Phone Number of Person Responsible to Pay Registration Fee*

Please enter a valid phone number.

Name of Person filling out the Registration Form

First NameLast Name

Email of Person filling out the Registration Form

example@example.com

CREDIT CARD CONFERENCE REGISTRATION

Conference Registration and SEHIA Membership for 1 Attendee Product Image

Conference Registration and SEHIA Membership for 1 AttendeeEarlyBird Conference Registration. Pay by credit card, PayPal, or check. All checks must be received by 8/31/2023 to get the discount. Annual SEHIA Membership is included in the fee.

$455.00

Conference Registration and SEHIA Membership for 2 Attendees Product Image

Conference Registration and SEHIA Membership for 2 AttendeesEarlyBird Conference Registration. Pay by credit card, PayPal, or check. All checks must be received by 8/31/2023 to get the discount. Annual SEHIA Membership is included in the fee for each person.

$910.00

Conference Registration and SEHIA Membership for 3 Attendees Product Image

Conference Registration and SEHIA Membership for 3 AttendeesEarlyBird Conference Registration. Pay by credit card, PayPal, or check. All checks must be received by 8/31/2023 to get the discount. Annual SEHIA Membership is included in the fee for each person.

$1,365.00

Conference Registration and SEHIA Membership for 4 Attendees Product Image

Conference Registration and SEHIA Membership for 4 AttendeesEarlyBird Conference Registration. Pay by credit card, PayPal, or check. All checks must be received by 8/31/2023 to get the discount. Annual SEHIA Membership is included in the fee for each person.

$1,820.00

Total

$0.00

PAYMENT OPTIONS*

PayPal or Debit / Credit CardCheck

CHECK OPTION:

If Payment Option "Check" is chosen, payment must be received before AUGUST 31, 2023. Along with the check, please PRINT this page and include with the check to ensure the correct account(s) are redited.

Write checks to "Southeastern Homicide Investigators Association" and mail check to:

SEHIA

ATTN: Jennifer Spears

PO Box 102

Sorrento, FL 32776

PAY BY CHECK CONFERENCE REGISTRATION*

EarlyBird Conference Registration for 1 Attendee - $455.00EarlyBird Conference Registration for 2 Attendees - $910.00EarlyBird Conference Registration for 3 Attendees - $1,365.00EarlyBird Conference Registration for 4 Attendees - $1,820.00

Total Invoice

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

SEHIA ATTENDEE REGULAR REGISTRATION for 1-4 ATTENDEES