Conference Registration

August 18-19, 2023 | REGISTRATION INCLUDES LUNCH ON SATURDAY!

Primary Contact

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Attendees

# of Adults (ages 18 and up)

1 Adult ($15.74) 2 Adults ($31.18) 3 Adults ($46.62) 4 Adults ($62.06) 5 Adults ($77.5) 6 Adults ($92.94)

Amount

# of Children (ages 5-17)

No Child ($0) 1 Child ($5.15) 2 Children ($10.30) 3 Children ($15.45) 4 Children ($20.60) 5 Children ($25.75) 6 Children ($30.90) 7 Children ($36.05) 8 Children ($41.20)

Amount

Ages 4 and under come free!

Please list the names of all registered guests, adults and children, e.g., John Doe, Jane Doe, etc.

These will be used for name tags.

Names of Attendees

*

Payment

Please note, your total amount includes an online processing fee.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

August 18-19, 2023

REGISTRATION INCLUDES LUNCH ON SATURDAY!

Please Fix the Following

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