2024 National Conference Sign-up September. 25-28 2024 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryEmail *Are you wishing to attend the full Conference *yes (Full Conference) - $60.00no (Saturday only) - $25.00Full name desired on name badgeIs this you or your spouse's first attendance at a National Meeting?YesNois a spouse or significant other attending?Yes - $60.00No - $0.00is a spouse or significant other attending? (Saturday only)Yes - $25.00No - $0.00Full name desired on name badgeDo you have any children under 16 atendingYes - $0.00No - $0.00There is no charge for the registration of children under 16. However Banquet, and tour charges apply.Please list all children's name(s) desired on badgePlease use a coma between namesAre you or others wanting to attend the Saturday Banquet?I will not be attending - $0.00Just myself - $32.001 extra person - $64.002 extra persons - $96.003 extra persons - $128.004 extra persons - $160.005 extra persons - $192.006 extra persons - $224.007 extra persons - $256.008 extra persons - $288.009 extra persons - $320.00Are you or others wanting to attend the Saturday Banquet?I will not be attending - $0.00Just myself - $0.001 extra person - $32.002 extra persons - $64.003 extra persons - $96.004 extra persons - $128.005 extra persons - $160.006 extra persons - $192.007 extra persons - $224.008 extra persons - $256.009 extra persons - $288.00Children/Guests/Saturday Only need to pay extra to attend the Saturday banquet. the price is $45 each. your banquet fee is included with the full comfrance price.Number attending Welcome Dinner Wednesday eveningI will not attend the Welcome Dinner - $0.00Just myself - $15.001 extra person - $30.002 extra persons - $45.003 extra persons - $60.004 extra persons - $75.005 extra persons - $90.006 extra persons - $105.007 extra persons - $120.008 extra persons - $135.009 extra persons - $150.00Number of persons attending Auxiliary LuncheonI will not attend the Auxiliary Luncheon - $0.00Just myself - $23.001 extra person - $46.002 extra persons - $69.003 extra persons - $92.004 extra persons - $115.005 extra persons - $138.006 extra persons - $161.007 extra persons - $184.008 extra persons - $207.009 extra persons - $230.00Number of Trade Tables For the convention floorI will not need a member table - $0.001 table - $20.002 tables - $40.003 tables - $60.004 tables - $80.005 tables - $100.00TRADE TABLES: (plastic table covers provided) We Ask That All Trade Tables Stay Set Up Entire Time Trade Room Is Open Through SaturdayNumber of Auxiliary Trade TablesI will not need a member table - $0.001 table - $20.002 tables - $40.003 tables - $60.004 tables - $80.005 tables - $100.00TRADE TABLES: (plastic table covers provided) We Ask That All Trade Tables Stay Set Up Entire Time Trade Room Is Open Through SaturdayDo you want a display table?No display table needed - $0.00Full table - $15.00Half table - $15.00DISPLAY TABLES: (Deposit will be returned when display is set up) NOTE!! Displays cannot be more than 4 ft above height of table or 78 in total, must be structurally stable & backs must be aesthetically pleasing. Contact Steve McNulty at 608) 792-2899 with questions.Do you want an Auxiliary display table?No display table needed - $0.00Full table - $15.00Half table - $15.00DISPLAY TABLES: (Deposit will be returned when display is set up) NOTE!! Displays cannot be more than 4 ft above height of table or 78 in total, must be structurally stable & backs must be aesthetically pleasing. Contact Steve McNulty at 608) 792-2899 with questions.Service charge *4%: $0.00Total$0.00Stripe Credit Card *Submit
