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 Level - Please fill out a separate registration for any additional participants beyond those included with the sponsorship level. Sponsorship includes attendance, meals, and events for both days of the conference (Wednesday and Thursday) plus the pre-conference day (Tuesday).

Platinum Level - $5,000, includes 5 registrants Gold Level - $4,000 - includes 4 registrants Silver Level - $3,000 - includes 3 registrants Bronze Level - $2,000 - includes 2 registrants Program Sponsor - $1,000 - includes 1 registrant

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

Exhibitor Table Registration - If you are not choosing to register with a sponsorship, but would like a vendor table, please select below. You still must register for the individual registration fees as listed below.

Exhibitor Table - $600 Includes Registration for One Representative

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

Please indicate your registration level. Day Fees include meals for the selected day. 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 – Thursday. If you are registering by day and also want to attend Pre-Conference, you must add that day and fee.

Full Conference - $250 Tuesday $125 Wednesday $125 Thursday $125 Friday $50

Please indicate if you have any dietary needs or restrictions.

Yes No

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

Payment method:

Check to WSACT mailed to Leah McCormack Online payment with Point and Pay

If paying by check, please mail check/warrant made payable to WSACT to Leah McCormack at PO Box 111, Okanogan, WA 98840. If you have any questions regarding your payment please contact Pam @ 509-422-7180 or pjohnson@co.okanogan.wa.us. For Point and Pay visit: https://client.pointandpay.net/web/WSACT/

Please Note:

Contact Leah McCormack, 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