2023 Annual Meeting Registration

Please complete the form for the primary registrant. Include names for additional or spouse attendees on the second page. Rates will increase after December 22nd, 2023. Register now for best value!

Name*

Name on badge (if different from above)

Business/Organization

Address*

Address

Street Address Line 2

CityState/Province

Zip/Postal Code*

Telephone

Phone number

E-mail*

example@example.com

Check Status*

IPPS MemberNon-Member*StudentCCNS Member

IPPS member Region (if applicable)

*Non-members may register at member rate if they apply for membership at https://wna.ipps.org/or submit membership fees with this application.

Check here if you do NOT want us to share your contact information with this year's sponsors and exhibitors

Do NOT share my information.

Registration Options

IPPS Western Region Membership Dues1-year membership dues. Additional member applies when registering 2 or more members from the same company.

$130.00

	Quantity	Price
Membership Renewal/Purchase		$130.00
Additional Member		$70.00

Pre-conference Tour + 3-day Conference (Tues, Wed, Thurs, Fri - January 23-26, 2024)Tuesday full-day tour, all sessions, Thursday/Friday tours, scheduled meals, Tuesday reception, and Thursday banquet

$699.00

After Dec 22nd	Quantity	Price
Member		$699.00
Non-member		$829.00
Speaker & Students		$499.00

Conference Only (Full 3-day meeting - January 24-26, 2024)All sessions & tours, scheduled meals, Tuesday reception, and Thursday banquet. Prices Apply Before Dec 22.

$525.00

After Dec 22nd	Quantity	Price
Member		$525.00
Non-member		$620.00
Speakers & Students		$350.00

A la carte (Tuesday - Pre-Conference Tour on January 23, 2024) Single-day attendance. Special rates for speakers attending one day. Prices Apply Before Dec 22.

$235.00

Before Dec 16	Quantity	Price
Member		$235.00
Non-member		$265.00
Speakers & Student		$165.00

A la carte (Wednesday - January 24, 2024)Single-day attendance. Special rates for speakers attending one day. Prices Apply Before Dec 22.

$235.00

Before Dec 16	Quantity	Price
Member		$235.00
Non-member		$265.00
Student		$165.00
Wednesday Speaker		$0.00

A la carte (Thursday - January 25, 2024)Single-day attendance with optional banquet pricing. Special rates for speakers attending one day. Prices Apply Before Dec 22.

$235.00

Before Dec 16	Quantity	Price
Member		$235.00
Non-member		$265.00
Student		$165.00
Banquet ONLY		$100.00

A la carte (Friday - January 26, 2024)Single-day attendance with optional banquet pricing. Special rates for speakers attending one day. Prices Apply Before Dec 22.

$235.00

	Quantity	Price
Member		$235.00
Non-member		$265.00
Student		$165.00
Friday Speaker		$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

If you have any questions, please reach out to: Brooke Palmer (brooke@agamsi.com)

2024 Annual Meeting Registration

Additional Information (Optional)

Additional Attendees