MHAPP 2025 Conference - Delegate Registration Form

MHAPP 2025 AGM & Conference Delegate Registration Form

Fantasyland Hotel, Edmonton, AB | November 19-20, 2025
Primary Contact Information
Company Name*
Contact Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*

Confirmation Emailexample@example.com
Billing Information
Please select one of the following payment types.

If paying by cheque, an invoice will be emailed separately with the total amount due to the billing contact email specified in the next section. Please issue cheques to Modular Housing Association Prairie Provinces upon receipt and send to MHAPP, 14843 118 Avenue NW, Edmonton, AB T5L 2M7.

If paying by credit card, please complete the payment information in the next steps and a receipt will be sent to the primary contact upon completion of the transaction.
Payment Type (Select One)*

Credit CardCheque
Early Bird Conference Registration, available until July 31, 2025 ($299 + GST)
Includes all meals and banquet.
Tier Two Conference Registration, available between August 1 - October 3, 2025 ($359 + GST)
Includes all meals and banquet.
Tier Three Conference Registration, available after October 3, 2025 ($389 + GST)
Includes all meals and banquet.
Spouse Meal Package ($225 + GST)
Includes welcome reception, breakfast, lunch, and banquet.
Additional Meal Tickets
Thursday Breakfast, November 20 ($45 + GST)
Thursday Lunch, November 20 ($55 + GST)
President's Reception & Banquet, November 20 ($125 + GST)

Registration

Tier 3 Conference RegistrationIncludes all meals and banquet.

$389.00CAD Quantity
Item subtotal:$0.00CAD

Spouse Meal PackageIncludes Welcome Reception, breakfast, lunch, and banquet.

$225.00CAD Quantity
Item subtotal:$0.00CAD

Additional Thursday Breakfast Ticket

$45.00CAD Quantity
Item subtotal:$0.00CAD

Additional Thursday Lunch Ticket

$55.00CAD Quantity

Additional Banquet Ticket

$125.00CAD Quantity
Item subtotal:$0.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Contact Email

Confirmation EmailPlease specify an additional email for a copy of the receipt or invoice to be sent if different from above Primary Contact email.
Please enter delegate information below. The number of names must reflect the quantity of tickets purchased.*
Please include any dietary restrictions and the name of the attendee in the space below (if applicable).
Thank you for your interest and please let us know if you have any questions by emailing info@mhaprairies.ca.
Please verify that you are human*
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MHAPP 2025 AGM & Conference Delegate Registration Form