CMACOA 2024 Conference Registration & Payment

CMACOA 35th Annual Conference Registration
Friday, September 20, 2024 from 7:30am - 5:00pm at the Marriott Trumbull.

Attendance approved for 5 CE credits.

$150 per attendee (the early bird discount price expired on 8/20/2024).

THERE WILL BE NO REGISTRATION/PAYMENT AT THE DOOR!
Agency*
City/Town/Organization
Phone*
Please enter the best phone number to contact your agency, or your own number if you are paying for yourself.
Number of attendees*
This form can accept up to 7 attendees.
Attendee 1

Professional TitleFirst NameLast Name
Attendee 2

Professional TitleFirst NameLast Name
Attendee 3

Professional TitleFirst NameLast Name
Attendee 4

Professional TitleFirst NameLast Name
Attendee 5

Professional TitleFirst NameLast Name
Attendee 6

Professional TitleFirst NameLast Name
Attendee 7

Professional TitleFirst NameLast Name
Name of Payer*
Organization/Town/City, OR Individual if you are paying for yourself.
Email of Payer (where receipt will be sent)*

Confirmation Email
Calculation
Total amount to be paid in US Dollars*

prevnext( X )
USDThis amount represents $150.00 per attendee registered.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

CMACOA 35th Annual Conference Registration