Conference Registration
Station/Company
*
Name
*
First Name
Last Name
Event Attendees
Please list all attendees in separate fields so that we can have name tags printed appropriately. If you do not have all attendee names then please put station name and that is what will appear on the name tag.
Badge Name
*
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Badge Name
Phone
*
Email
*
example@example.com
Event Attendees
To assure that we have an accurate food count, we ask that you please indicate which of the following you will be attending. Please indicate the number for you and others for whom you are registering if you are most likely to attend by entering the number of expected attendees. For those not likely to be attended, leave blank.
Tuesday President's Luncheon
Please indicate the number of paid attendees attending Tuesday lunch.
Tuesday Conference Kickoff Dinner
Please indicate the number of paid attendees attending dinner Tuesday evening.
Wednesday Opening Breakfast
Please Select
1- Myself Only
2
3
4
5
6
7
8
9
10
Wednesday Hall of Fame Luncheon
Please Select
1- Myself Only
2
3
4
5
6
7
8
9
10
Wednesday Hall of Fame Luncheon Only- if not attending the conference
Please Select
1- Myself Only
2
3
4
5
6
7
8
9
10
Attention!
If paying by check, use the discount code PAYBYCHECK in the box above.You must clink on Payola and then Pay later This will allow you to checkout with a zero balance, but you are still responsible for mailing a check for the full balance.
Registration Payment
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Number of Registrations Needed
$
100.00
Quantity
Item subtotal:
$
0.00
Student Registration
Must be a current enrolled student at a college or university
$
60.00
Quantity
0
1
2
3
4
5
6
7
8
9
10
Hall of Fame Luncheon if not attending the conference
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Tuesday Night Dinner (spouse not attending conference)
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Please Invoice Me
If you would like to be invoiced and pay by check please put PAYBYCHECK in the coupon code
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: