2022 Disability:IN Alabama Conference Registration

Disability:IN Alabama Conference Registration

Registration is CLOSED!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Date: October 19, 2022

Location: 5381 Trussville Clay Road, Trussville, AL

Conference is from 9:00 AM to 3:00 PM

Registration begins at 8:00 AM **Breakfast and Lunch will be provided.

Registration Deadline is October 14, 2022
Full Name*

First NameLast Name
Name of Company
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Lunch Options (Please select 1 per registration)

Turkey & Cheese Box Lunch ( includes cookie, chips, cutlery kit, and mustard and mayonnaise packs)Club Croissant Box Lunch ( includes cookie, chips, cutlery kit, and mustard and mayonnaise packs)Veggie Sandwich (Fresh Seasonal Grilled Vegetables with lettuce and tomato served on a hoagie roll)Chef's Salad (Julienne strips of Ham, Turkey, & Cheese served on crisp greens and garnished with tomato, hard boiled eggs with crackers, and Ranch & Balsamic Vinaigrette dressingNo lunch
Conference Options
prevnext( X )
Full Conference, In-personFull Conference includes breakfast, lunch, and recording of the conference
$125.00



Conference Recording A link to the Conference recording will be sent to to registrant's email on file.
$100.00



Group Discount for 5 or moreIf your organization plans to have five or more persons attend, please select this option to get your group discount.
$85.00



InvoicePlease select this option if you are paying with an invoice *Please contact Becky Parker at 205-290-4446 becky.parker@rehab.alabama.gov invoice questions and arrangements.
$ Free



VendorVendor Registration is $100.00 and includes two tickets to the conference totaling $250.00. For questions about being a vendor, please contact Anna Taylor 334-293-7156 anna.taylor@rehab.alabama.gov
$350.00



Total

$0.00
To request accommodations by October 1, 2022

Contact 205-290-4446 becky.parker@rehab.alabama.gov

For questions about the conference, contact

Anna Taylor 334-293-7156 anna.taylor@rehab.alabama.gov
Should be Empty: