Utah Center for Multicultural Health

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Online Registration
Hispanic Health Care Task Force The Hispanic Health Care Task Force, an independent community organization, presents its third annual conference: Eliminating Health Disparities Among the Utah Hispanic Population: Bridging the Disparity Gap July 11, 2008, 8:45 am to 2:15 pm Granite School District Office 2500 South State Street Salt Lake City, UT Fees Individual: Early registration (by June 20, 2008) $15 Late registration (June 21, 2008 or later) $25 Scholarships available on a first come first serve basis for those unable to afford the registration fee. Registration on the day of the event $35 Group: Registration includes a group of up to 10 people with group seating. $200 Exhibitors: Registration includes exhibit table and two (2) individuals: For-profit organizations $100 Non-profit organizations $50 Fields in BOLD are required
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I am enrolling as a(n):	Individual Individual requesting a scholarship Group Exhibitor from a non-profit organization Exhibitor from a for-profit organization
If you are an exhibitor, please provide the name of the other person whose registration is covered by this ticket. If you are a group, please provide the names of the other people whose registrations are covered by this ticket.

Center for Multicultural Health (CMH), Utah Department of Health (UDOH)
Mailing address: PO Box 142001 Salt Lake City, UT 84114-2001 | Location: 288 North 1460 West, Salt Lake City, UT
Email: cmh@utah.gov | Phone: 1-888-222-2542 | Fax: (801) 538-6591 | Web: www.health.utah.gov/cmh