Contact Information
First Name
*
Last Name
*
Job Title
Company Name
Street Address 1:
*
Street Address 2:
City:
*
State / Province:
*
Postal / Zip Code:
*
Country:
Phone Number
E-mail
*
Confirmation Email
example@example.com
Website
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COMPANY INFORMATION
Primary Business (Please select all that apply)
*
Artisan
Bench Jeweler
Designer
Independent Retailer
Other
Are you a business owner?
Yes
No
Number of Employees
Are you a member of MJSA
Yes
No
Please sign me up for a FREE 4-month subscription to MJSA Journal
Yes
No
REGISTRATION FEES
The cost for the full-day conference, which includes a continental breakfast and lunch, is
$149 for MJSA members
and
$179 for non-members
.
Please select a ticket option below:
*
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( X )
MJSA Member
$
149.00
Non-MJSA Member
$
179.00
Complete Registration
Should be Empty: