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).
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| Sponsorship Level: |
$200 Advertising Sponsor |
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$750 Conference Sponsor |
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$1,500 Program Sponsor |
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| First Name: |
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| Last Name: |
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| Title: |
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| Employer: |
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| Email: |
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| Confirm Email: |
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| Work Phone: |
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| Mobile (Optional): |
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| Address Line 1: |
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| Address Line 2: |
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| City: |
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| State: |
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| Zip: |
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| Will you be attending? |
| Display Table needed in Conference Area? |
| Play in President's Golf Outing on Wednesday, Sept. 18th? |
Guest Registration: $100.00 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.)
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| 1 Guest Name: |
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| Title: |
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| Play in President's Golf Outing on Wednesday, Sept. 18th?
I will pay now ($61.01)
I will pay at the Pro Shop on Wednesday, Sept 18th ($59.00) |
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| 2 Guest Name: |
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| Title: |
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| Play in President's Golf Outing on Wednesday, Sept. 18th?
I will pay now ($61.01)
I will pay at the Pro Shop on Wednesday, Sept 18th ($59.00) |
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| 3 Guest Name: |
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| Title: |
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| Play in President's Golf Outing on Wednesday, Sept. 18th?
I will pay now ($61.01)
I will pay at the Pro Shop on Wednesday, Sept 18th ($59.00) |
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| Human Test: |
(What day of the week begins with the letter "W"?)
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