AWSNA Great Lakes/Ontario Regional Conference
February 22-24, 2018

Please complete the below form to register.

Registration Fee:
$120 per person for groups of 10-19
$100 per person for groups of 20+

Includes snacks throughout and lunch on Friday, February 23.  Thursday and Saturday dinners can be ordered below for an additional $15 each.

* 1. Your Information

Please download and complete this Group Registration Document and then upload the completed form below.

* 2. Please upload the completed Group Registration document with your list of attendees and options.

DOC, DOCX file types only.
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Payment Options:

1. Complete credit card information below.  A 3% administrative fee will be charged,
2. Mail a check (information provided at end of survey), OR
3. Contact Alex Western at

* 3. Credit Card Type

* 4. Total Amount to Charge (All Reg. Fees + Optional Meals)

* 5. Name as it appears on card

* 6. Card Number

* 7. CVV Code

* 8. Expiration Date