Conference Attendee Registration

Invoice #

Name(Required)

First Last

City/Town Represented(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone

Dietary Restrictions?

Please list all that apply, if any.

Please Select Plan(Required)

Hidden

PLAN A Options

Wed. & Thurs. Room Nights – with Meals for Wed., Thurs., Fri.

Hidden

PLAN B Options

Wed. & Thurs. Room Nights – with Meals for Wed., Thurs., Fri.

Hidden

Additional Occupant (roommate)

First Last

Please Note: The additional occupant (roommate) listed will need to also register and put your name in this space when registering.

PLAN C Options

Wednesday, Thursday, Friday - Includes Breakfast & Lunch

Wednesday - Includes Breakfast & Lunch

Thursday - Includes Breakfast and Lunch

Friday - Includes Breakfast

(Please check all that apply)

If you are unable to commute on certain days and would like to also register for online options, please complete a separate registration to select those "Plan D Online Options".

PLAN D Options

Wednesday – $50 for the day

Thursday, March 23 – $60 for the day

Friday, March 24 – $20 for the day

Online all 3 days, discounted - $120 for all 3 days

(Please check all that apply)

If you would also like to commute on certain days, please complete a separate registration to select those "Plan C Commuter Options".

Total

Additional Night(s) Stay Quantity

Price: $135.00

Quantity

Would you like any additional overnight rooms that is not included with your package (Please Note that Plan A & B includes Wed & Thurs night) If you would like additional nights, please indicate how many additional nights in the quantity field.

Hidden

Which Night(s)?(Required)

Please input the night(s) that you wish to add as additional. If you do not need any additional night(s), please input N/A

Wednesday Night Dinner

As a Commuter would you like to stay for Wed dinner?

Thursday Evening Cocktail Hour and Banquet – 6:00 p.m.

As a Commuter, would you like to stay for Thursday banquet?

Total

Payment Option(Required)

Pay By Check

Pay with PayPal

Billing Address(Required)

Same as mailing address

Street Address Address Line 2 City State ZIP Code

Total

Name

This field is for validation purposes and should be left unchanged.

Conference Attendee Registration

ATTENDEE REGISTRATION

CONTACT US