Please fill out this form and submit to attend ILCSWMA's Annual Conference

* 1. Name

* 2. Organization

* 3. Address

* 4. City, State, Zip

* 5. Phone Number

* 6. Email Address

* 7. ILCSWMA Conference Attendees
*All Non-Member Fees include 2018 organizational membership
For questions regarding membership email

To view current members visit

Full Registration includes all conference sessions, materials, breaks three meals on Thursday and full breakfast on Friday.  

One-day registration includes conference sessions, materials, breaks and meals for that day.

* 8. Special Needs: (such as vegetarian meals, food allergies, etc.)

* 9. Please mark your t-shirt size (unisex)

* 10. Payment