Attendee Registration

Name

First NameLast Name

Organization

Address

Street Address

Street Address Line 2

CityState

Zip Code

Email

Confirmation Emailexample@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Number of Attendees (this is for name tags)

Guest #1

First NameLast Name

Guest #2

First NameLast Name

Guest #3

First NameLast Name

Guest #4

First NameLast Name

Give us your thoughts, questions, etc. Let us know who will be rooming together.

Annual Dues

Per person

$50.00 Quantity
Item subtotal:

Conference Cost (per person)

Per person

$350.00 Quantity
Item subtotal:

Usage Fee

This fee is for members who are attending the Workshop but not staying at the Workshop Hotel.

$30.00

Guest Breakfast

*This section is for guests that are not attending the Workshop.

$20.00 Quantity

Guest Lunch

*This section is for guests that are not attending the Workshop.

$20.00 Quantity

Guest Reception

*This section is for guests that are not attending the Workshop.

$20.00 Quantity

Total