Conference Registration Form with Payment

2025 GSHA Conference Registration

Please book your conference by completing the form below; specify the expected number joining the conference. Thank you for registering.
Chapter Affiliation:
Southern California ChapterFray Angelico Chavez Chapter, Pueblo, COUtah ChapterGSHA Member-At-LargeNon-Member
Full Name*

First NameLast Name
E-mail, if applicable
example@example.com
Phone Number*
Number of people attending*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
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Conference Full-Access w/ Dinner (member) Registration July, 2025 until conference. Registration include tours on Friday and Sunday. Saturday - Lunch on your own.
$165.00 Quantity



Conference Full-Access w/Dinner (non-member) 2Registration July 1,, 2025 until conference. Become a member at $25 and pay the $190 price. Your membership will be for the remainder of 2025 and into full year 2026. Registration includes tours on Friday and Sunday. Saturday - Lunch on your own.
$190.00 Quantity



Saturday - Single Day SessionSaturday - Day Session only.
$70.00 Quantity



Reception Only This is for those who only wish to attend the Reception on Friday evening. This includes the gratuity.
$30.00 Quantity



Dinner OnlyThis is for those who only wish to attend the Dinner on Saturday evening. This includes the gratuity.
$62.00 Quantity



Donations accepted. This is a fundraiser for GSHA. Please select a quantity in increments of $10 for a donation. GSHA is a 501 (c) (3) and your gift may be tax deductible. Select a number quantity with the minimum being $10.00 for 1 quantity and 2 quantity for $20, etc.
$10.00 Quantity
Item subtotal:$0.00



CUSTOM AD IN PROGRAM Business Card - 3.5 x 2 in. Check the box to the left of the GSHA logo and then select the quantity of ads you desire.
$30.00 Quantity
Item subtotal:$0.00



CUSTOM AD IN PROGRAMQuarter Size - 4.25 x 5 in. Check the box to the left of the GSHA logo and then select the quantity of ads you desire.
$40.00 Quantity
Item subtotal:$0.00



CUSTOM AD IN PROGRAMHalf Size - 7.5 x 5 in. Check the box to the left of the GSHA logo and then select the quantity of ads you desire.
$50.00 Quantity



CUSTOM AD IN PROGRAMFull Page - 7.5 x 10 in. Check the box to the left of the GSHA logo and then select the quantity of ads you desire.
$80.00 Quantity
Item subtotal:$0.00



Total

$0.00
Lunch on 8-23-2025 is on your own.

Saturday Dinner; dietary restrictions:
Do you plan to attend the Sunday Tour of the National Hispanic Cultural Center (Free): YES or NO

YesNo
Would you be interested in a Friday UNM Zimmerman Library/Herb Garden tour (Free): YES. NO

YesNo
Questions: Contact Gloria Gonzalez-Cook at ggmdc1970@gmail.com

Please submit program ad to cathy.r.romero@gmail.com
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2025 GSHA Conference Registration

Chapter Affiliation: