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


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* 1. Organization

First Name

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* 2. First Name

Last Name

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* 3. Last Name


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* 4. Address

City, State, Zip

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* 5. City, State, Zip

Phone Number

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* 6. Phone Number

Email Address

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* 7. Email Address

ILCSWMA Conference Attendees

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* 8. ILCSWMA Conference Attendees

NOTE: All non-member registration rates included membership through the end of 2019. 
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.

After 10/25/18, add $25 to member & non-member price, students remains the same.
Special Needs: (such as vegetarian meals, food allergies, etc.)

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


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* 10. Payment