2018 WSACT Annual Conference Treasurer's Registration

Attendee Name

First Name Last Name

Contact Name

First Name Last Name

Entity

Phone Number

Area Code Phone Number

Email

example@example.com

Please indicate your sponsor level. Once your level is chosen we will then contact you for further registration questions. If you would rather not choose a sponsorship, please complete the Registration section.

Sponsorship includes conference attendance and meals (Tuesday-Thursday), exhibitor table (if desired), logo displayed on conference sign and visually during breaks, and attendee list prior to conference. For logos to be included, they need to be received in either .ai or .eps format emailed to gheimbigner@co.walla-walla.wa.us by May 1, 2023.

Sponsorship Level - Please fill out a separate registration for any additional participants beyond those included with the sponsorship level. Sponsorship includes attendance, meals, exhibitor table, and the conference (Tuesday - Thursday).

Platinum Level - $7,500 includes 5 registrantsGold Level - $5,000 - includes 4 registrantsSilver Level - $3,000 - includes 3 registrantsBronze Level - $2,000 - includes 2 registrantsProgram Sponsor - $1,000 - includes 1 registrants

Sponsorship Attendees
If you have chosen a sponsorship level, please list the names of those who will be attending. Please note how many registrations are included with your sponsorship. All additional attendees must fill out and purchase a separate registration.

Name

First Name Last Name

Name

First Name Last Name

Name

First Name Last Name

Name

First Name Last Name

Name

First Name Last Name

Registration - Individual Registration or Additional Attendees not included with Sponsorship Level

If you have chosen a sponsorship level, but have additional attendees not included in the sponsorship level, please submit that form separately and then fill out the section below as a new registration form.

Registration Fees - Full Conference registration includes all events, Tuesday – Friday.

Full Conference - ($600 by March 31, 2023 $800 - April 1, 2023 and after)

Please indicate if you have any dietary needs or restrictions.

YesNo

If 'yes', please explain (i.e. vegetarian, gluten-free, etc.)

Payment method:

Check to WSACT mailed to Gordon HeimbignerOnline payment with Point and Pay

If paying by check, please mail check/warrant made payable to WSACT to Gordon Heimbigner at PO Box 777; Walla Walla, WA 99362. If you have any questions regarding your payment please contact Gordon at gheimbigner@co.walla-walla.wa.us. For Point and Pay visit: https://client.pointandpay.net/web/WSACT/

Please Note:

Contact Gordon Heimbigner, WSACT Conference Chair with any questions about the conference, registration or sponsorship/

*If you have selected a sponsorship, you will be receiving a follow-up email to complete your registration

**Print this registration for your files before clicking “Submit.”

WSACT Annual Conference Vendor Registration