REGISTRATION FORM

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

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* 1. Organization

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* 2. First Name

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* 3. Last Name

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* 4. Address

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* 5. City, State, Zip

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* 6. Phone Number

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* 7. Email Address

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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 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.

After 10/25/18, add $25 to member & non-member price, students remains the same.

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

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* 10. Payment

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