WAND Fall Conference Bulk Registration Form

Multi-Attendee Conference Registration

Please fill in the form below if you're registering an in-person group (more than 1 attendee) for the 2023 WAND Career & Leadership Day on Friday, November 3 at Viterbo University in La Crosse WI. Or call the WAND office at 920-560-5635 during normal business hours and staff can assist your group.
Organization Name*
Group Contact Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Billing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Group Contact is WAND Member*

YesNo
Group Contact is also attending Conference*

YesNo
Please include the name of the Group Contact in the Group Details on the next page of this form if the Group Contact did NOT register to attend on the WAND website.

List first and last names and email addresses of all attendees in your group. Type the "Attendee Type" that corresponds with each attendee. (e.g. if Jordan Jones is a WAND student member, type "A" and if Carla Smith is a WAND member, type "C")

Then, check each type of registration that is a part of your group and number of participants of each registration type.

List any food allergies or other accomodations (e.g. mother's room, hearing loop, dietary needs, etc.) in the "Requests" field.
Group Details
Attendee Types and Registration Rates
prevnext( X )
A- Student WAND Member
$25.00 Number of Participants
Item subtotal:$0.00



B- Student NON-WAND Member
$40.00 # of Participants
Item subtotal:$0.00



C- WAND Member or Friend of WAND
$75.00 Quantity
Item subtotal:$0.00



D- Non-WAND Member
$125.00 Quantity
Item subtotal:$0.00



Total

$0.00
My organization is interested in sharing/splitting the cost with registrants.

YesNo
If Yes, explain
How your organization would like to share costs, if attendees should register for the event on their own, if you'd like WAND to create a promo/discount code for your organization for the event, etc.
Comments or Questions
WAND will email you an invoice for the total amount listed above for your organization to pay prior to the event.
Should be Empty:

Multi-Attendee Conference Registration