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2016 WMTA Conference Registration
ONLINE REGISTRATION FORM
October 21-22, 2016
Radisson Hotel La Crosse
200 Harborview Plaza
La Crosse WI 54601
Membership Status
*Membership Status
I am a current member
I am not a member
General Conference Registration Fees
Active MTNA Member
Early Bird before 9/1/2016
Active MTNA Member
Regular Registration after 9/1/2016
MTNA Collegiate Member
includes meals
MTNA Collegiate Member--VOLUNTEER
Admission to all sessions (no meals)--must volunteer 2 hours
One-day Registration
Specify day for single-day pass:
Specify Day for single-day pass
Friday
Saturday
New MTNA Member
includes meals
Nonmember
includes meals
Conference Events
Friday, October 21, 2016
*Local Association Lunch
11:30am - 1:00pm Box lunch (includes 20% gratuity)
Select Entree*
Orchard Chicken Wrap
Sliced Roast Beef
Dagwood (smoked turkey, ham, pastrami)
Grilled Vegetable Wrap
*District Chairs Lunch
11:30am - 1:00pm Box Lunch (includes 20% gratuity)
*Select Entree
Orchard Chicken Wrap
Sliced Roast Beef
Dagwood (smoked turkey, ham & pastrami)
Grilled Vegetable Wrap
*Friday Evening Banquet
Please select your entree
*Choose Entree
Roasted Chicken Breast
Gorgonzola Stuffed Pork
Spinach Ravioli
Spouse/Guest Banquet
Please select entree (price includes 20% gratuity)
Choose Entree
Roasted Chicken Breast
Gorgonzola Stuffed Pork
Spinach Ravioli
Extra Conference Programs
2016 WMTA Conference Commemorative Programs
*Friday Concert Tickets
Nicholas Roth, recital (one ticket with registration)
Spouse/Guest Concert Tickets
Nicholas Roth, recital
Student Concert Tickets
Nicholas Roth, recital
Saturday, October 22, 2016
Saturday, October 22,2016
Saturday Luncheon
FREE with full registration
Spouse/Guest Luncheon
Luncheon (includes 20% gratuity and tax)
Total
Grand Total:
Personal Information
*E-Mail:Valid e-mail is required
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Date of Birth:
*Phone:
Name on Badge
Company:
Spouse/Guest Name:
Spouse/Guest Name:
Check here if this is your first WMTA Conference
Check here if you are looking for a roommate.
Check here if you are willing to volunteer.
Select day you can volunteer.
Friday
Saturday
Check here if you are a new member.
Check here if you have specific dietary needs for the events you have purchased.
Vegetarian
Vegan
Gluten-Free
Seafood/Shellfish
Dairy
OTHER
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