2013 Convention Member Registration

Organization Name (required)

Address (required)

City (required)

State (required)

ZIP (required)

Phone (required)

Your Email (required)

Delegate - #1   Registration Fee $299
Badge Name

Spouse/Guest   Registration Fee $150

Email for Spouse/Guest

Delegate - #2   Registration Fee $275
Badge Name

Spouse/Guest   Registration Fee $150

Email for Spouse/Guest

Delegate - #3   Registration Fee $250
Badge Name

Spouse/Guest   Registration Fee $150

Email for Spouse/Guest

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

Geyser White Water Rafting
Total number of rafters 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