Registration and Payment Information  
  Name:
(To Appear on Name Badge)
 
  Your E-Mail Address:  
  Guests:
(Names will appear on Name Badge. Please list all full names)


 
     
     
  Address:  
     
  City:  
  State:  
  Zip Code:  
  Phone Number:  
  Fax Number:  
  Local Association:  
  Please Select Your
HBAT Designation(s):
Senior Officer Local President
Committee Chair Local Vice-President
Committee Vice-Chair Executive Officer
Director Life Director
Alternate Director HBA Staff
Past HBAT President Member
NAHB State Representative Sponsor
Assoc. Nat'l Director Other
Area VII Vice President    
 
       
  RESERVATIONS  
  Room Rate: $249 per night    
 
King Bed or Double Bed:

King: Double:

 
 
Smoking or Not Smoking Room:
Smoking: Non-Smoking:  
 
Date Arriving
(MONTH DAY, YEAR)
:
 
 
Date Departing
(MONTH DAY, YEAR)
:
 
       
  Please charge all payments to: Visa MasterCard
American Express Discover
 
  Card Number:  
  Expiration Date (MM/YY):  
  Name as it appears on card:  
       
  1. The final date for registration at the Hilton is January 25, 2017.  
  2. Attendees must make all reservations through HBAT.  
     
 
Your registration is required, whether or not you require housing!