printable form

2013 WACTE Annual Conference

  April 11 & 12, 2013

Madison Marriott West, Middleton, WI

Online Registration Form

For more information on the conference see the schedule and housing form.

 

First Name *   MI    Last Name *

 

Employer *

 

Address *

 

City   State   Zip Code *

 

Work Phone *   Ext.         Home Phone
      (example: 000-000-0000)

Email *

 

WACTE Membership #    Local Association

            Not a member? Click here to join!

 

Conference Rates* Please make only one selection from this section. Member prices are for active members of WACTE only, all others should choose the non-member price under their selection.

Early Bird Full Conference (before 2/4/13):
member $220 non-member $285

Full Conference (after 2/4/13):
member $235 non-member $300

Special Pricing:
Student $105    Spouse $170    Retired $95 


One Day:

Thursday, April 11, 2013
member $160 non-member $220

Friday, April 12, 2013
member $160 non-member $220

 

 

Friday Breakfast* Please indicate if you will be attending the Business Friends of Education Awards Breakfast
8:00am - 9:00am
   Yes, I will attend the Breakfast
   No, I will not attend the Breakfast
 

 

New Attendee Choices Check any that apply:
I am a first-time conference attendee
 

 

Selection/Payment*

Registration fee includes continental breakfasts, lunches, breaks and registration materials.

*Choose One:  Check   Purchase Order
Check# or PO#*
*if PO #  or Check # is not available please enter to follow
 

 

 

A $25 administrative fee will be charged for ALL cancellations.
NO REFUNDS WILL BE ISSUED AFTER February 15, 2013.

 

Conference Attendance Accessibility/Special Needs: If you need disability-related accommodations or have special dietary requests, while in attendance at the conference, please identify below:

 

By submitting this form you are registering for the conference and agreeing to send payment as indicated above immediately. Online registrations will be treated the same as mail in and call in registrations.

 

NOTE: All fields with an * following them must be filled in.