SERSHA Summer 2024 Workshop Registration Form

Each registrant must complete this form either online, by email, or by mail no later than Friday, July 5, 2024. All payments must be mailed in to ensure participation in the training. There will be an additional $25.00 charge for registrations received or postmarked on or after Saturday, July 6, 2024. Cancellation requests must be made three (3) working days prior to the first day of the workshop, and a $5.00 fee will be retained for administrative costs. Please email your cancellation request to Cynthia Dixon, Treasurer, at cmd_section8@earthlink.net.

Join the 2-day SERSHA "Riding the Waves of Knowledge" 2024 Summer Conference and gain knowledge on important updates and how to ensure your workplace maintains a safe environment.

HCV & PH Customer Service: $625
Financial Updates: $625
NSPIRE & Active Shooter: $700

*Add an additional $50 to become a member.

Limited slots! Register now!

2024 Summer Workshop Schedule
August 7, 2024	8:00 AM - 5:00 PM EST
August 8, 2024	8:00 AM - 5:00 PM EST

Name

First NameLast Name

Agency/PHA Information

Title at Agency/Housing AuthorityName of Agency/Housing Authority

Phone Number

Participant's Agency/PHA Email

example@example.com

Agency/PHA Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Which session do you plan to attend (select one only):

HCV & PH Customer Service (Nan McKay & Associates) Cost: $625 (member price)NSPIRE & Active Shooter Class (Dennis Mogan & Precision Tactics) Cost: $700Financial Updates (Nan McKay & Associates) Cost: $625 (member price)

Are you a active member? (2-year membership period from 10/1/2024 - 9/30/2026)

Please upload your completed Membership Form here (on SERSHA's website):

Payment will be made by:

ex: Check, Money Order, Cashier's Check

Amount of Agency/PHA payment:

Total amount to be paid to SERSHA

When will payment be mailed:

Date payment will be mailed to: SERSHA C/O Cynthia Dixon PO Box 1482 New Bern, NC 28563-1482

Any additional comments or information you would like to share?

Participant Information

Payment Information