2013 Convention Associate Registration

Organization Name (required)

Address (required)

City (required)

State (required)

ZIP (required)

Phone (required)

Your Email (required)

Badge Names
Delegate - #1

Delegate - #2

Delegate - #3
Registration Fees (enter number of each type)
Associate Member Exhibitor $425

Associate Member Non-Exhibitor $325

Non-Member Exhibitor $525

Non-Member Non-Exhibitor $425

Additional Attendee - Member $225

Additional Attendee - Non-Member $325

Activity Fees
MIB Annual Golf Tournament
Total number of golfers at $85 each

Geyser White Water Rafting
Total number of passengers at $55 each

Friday Meal Count
Breakfast

Golf Lunch

White Water Rafting Lunch

Vendors Night Buffet

Saturday Meal Count
Vendors Breakfast

Lunch

Silent Auction Reception

Closing Banquet

Please contact us for special dietary needs or children costs for activities.

Total Registration & Activity Fees $

 

Payment Options (required)
 Mail in a check Online with Credit Card