Conference Registration

November 19, 20 and 21

Conference Fees BEFORE OCT 1: $275

Conference Feed AFTER Oct 1: $350

2026 Membership included

Title

Name

First Name

Last Name

Address

City, State, Zip

Email Address

Telephone Number

Agency

Agency Address

Agency Phone Number

Registration Fee's

***Registration fee's are non refundable***

$275 if received before OCTOBER 1, 2025

$350 if received after OCTOBER 1, 2025

Payment

PLEASE BE SURE YOU HIT THE BLACK “SUBMIT” BUTTON TO SUBMIT YOUR REGISTRATION.

PAYMENT OPTIONS

PAYPAL: KWLEN1999@GMAIL.COM

VENMO: @KWLEN1999

MAIL CHECK TO THE BELOW ADDRESS

CONFERENCE REGISTRATION/PAYMENT MAILING ADDRESS:

***Please note that rooms are not included in the registration*****