On this screen enter the first attendee's information. At the bottom of the screen you will be asked for the total number of people you are going to register at this time. When you are done registering everyone we will ask for your credit card information. * indicates a required field.
Enter as you would like it to appear on the List of Attendees & your event badge:
*First Name:
*Last Name:
*Country:
*Region:
*Email:
*Phone:
Have you attended a conference before?
Yes
No
*Position:
*Arrival Date:
-
-
*Departure Date:
-
-
*Please make your selections:
$60.00
Awards Program Awards Dinner $60.
$500.00
Director's Training $400 Training Fee and $100.00 Materials
$175.00
Director's Training Repeat (repeat – trained by HQ)
$75.00
On Site Conference Fee (Note: This fee applies if you are staying at the conference venue.)
$250.00
Off Site Conference Fee (Note: This fee applies if you are staying at another location other than the conference venue.)
Enter number of extra Awards Banquet Attendees (non-conference attendees):
ROOMMATE (Note: All roommates MUST be pre-arranged - Thank you)
By completing this form, I understand that a hotel reservation will be held for me at the conference venue for the dates I have indicated.
No, I would prefer a single/private room.
Yes, I have a roommate.
Roommate's Name:
Room type:
Smoking
Non-Smoking
Notes:
Enter the total number of people that you are registering today:
I have read and accept Policy Memorandum 2000-01 (revised 2/2010) relating to Conference Fees and the cancellation policy.
