Conference Registration

November 6, 7 and 8

Conference Fees BEFORE OCT 1: $250

Conference Feed AFTER Oct 1: $350

2025 Membership add-on: $25

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***

$250 if received before OCTOBER 1, 2024 (includes conference fee's, 2 breakfast tickets and lunch each day)

$350 if received after OCTOBER 1, 2024 (includes conference fee's, 2 breakfast tickets and lunch each day)

$25 2025 Membership

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*****