2012 WI-NENA

Fall Conference

& Trade Show

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Sunday, October 7th - Wednesday, October 10th, 2012

Kalahari Conference Center

Wisconsin Dells, WI

Attendee Registration Form

Please register one attendee at a time.

Thank you!

Filter Type:

Submitter's Information:

Submitter's Name:

Submitter's Email:

Attendee's Information:

Attendee's Name

Title

Department/Company Name

Address

City, State ZIP

Telephone

Fax

E-Mail

I am attending the Officer's Installation Reception & Banquet

Yes

I am a First Time Attendee

Yes

Please select the event(s) you are registering for

Pre-Conference Course - Member

Pre-Conference Course - Non-Member

Full Conference - Member

Full Conference - Non-Member

Monday One-Day Pass

Tuesday One-Day Pass

Wednesday One-Day Pass

Guest

Please list any special needs you may have