REGISTRATION FORM

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 info@ilcswma.org

To view current members visit http://www.ilcswma.org/members

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

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