2014 Montana Public Health Summer Institute

July 14 - July 18
Crowne Plaza

Registration Form

TUITION: Full payment is due prior to admission to the Summer Institute. A $30 cancellation fee will be applied to all refunds issued. Cancellations will be accepted by email only. Substitution is greatly encouraged.

The cost of a Course is $135.00 (except for the Vaccine Preventable Disease course which is $40.00). Get a 10% discount off the regular price, if you register by July 1st.

Each county & tribal public health agency may select one person to receive a free lodging voucher to support their public health education opportunity.  People attending who are not an employee of a county or tribal public health  agency are not eligible for this voucher.

StudentID
First Name    
Last Name    
Title    
Organization    
Address    
City    
State    
Zip    
Phone    
Fax  
Email    
Confirm Email  
Jurisdiction    
 
 
Speed Chart (DPHHS Only)  

Checks and money orders accepted
Montana DPHHS - Summer Institute
Attn: Vicki Cook
1400 Broadway, Room C202
Helena, MT 59620