Sponsor Registration and Payment

For sponsors who wish to register and pay via credit card or PayPal.
 
Conference Registration Fee: $230.00, permits sponsor representative to attend all program sessions and events. Note: The $230.00 Conference Registration Fee is waived for Sponsors who contribute $750 or more, (only one complimentary conference registration will be issued to a sponsor).
Sponsorship Level:   $200 Advertising Sponsor
$750 Conference Sponsor
$1,500 Program Sponsor

First Name: 
Last Name: 
Title: 
Employer: 
Email: 
Confirm Email: 
Work Phone: 
Mobile (Optional): 
Address Line 1: 
Address Line 2: 
City: 
State: 
Zip: 
 Will you be attending?
 Display Table needed in Conference Area?
 Play in President's Golf Outing on Wednesday, Sept. 20th?

Guest Registration: $75.00 per person, permits sponsor’s guest(s) to attend all program sessions and events.
Note: The guest registration fee does not include conference binder or complimentary gift.
 
Please make a MPELRA name badge for the following guest(s): (Conference badge must be worn to all conference sessions and events.)
1 Guest Name: 
Title: 
 Play in President's Golf Outing on Wednesday, Sept. 20th?
  I will pay now ($59.01)
  I will pay at the Pro Shop on Wednesday, Sept 20th ($57.00)

2 Guest Name: 
Title: 
 Play in President's Golf Outing on Wednesday, Sept. 20th?
  I will pay now ($59.01)
  I will pay at the Pro Shop on Wednesday, Sept 20th ($57.00)

3 Guest Name: 
Title: 
 Play in President's Golf Outing on Wednesday, Sept. 20th?
  I will pay now ($59.01)
  I will pay at the Pro Shop on Wednesday, Sept 20th ($57.00)

Human Test:  (What day of the week begins with the letter "W"?)

 

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