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Step
1
of 6
✔ Yes, I will be attending the Chapter Leadership Training on February 6th.
Which type of registration would you like to purchase?
Full Delegate Registration [Tuesday & Wednesday] (+$289.00)
Single Day Registration [Tuesday] (+$150.00)
Single Day Registration [Wednesday] (+$150.00)
NOTE: Full Delegate Registration includes...
- Monday Welcome Reception at 6:00PM
- Tuesday full day of classroom training and meals
- Wednesday half day classes (two tracts), Roadeo and field hands-on training and Awards Luncheon.
- No Refunds after January 24, 2022. A $25 administrative fee will be incurred when cancelling prior to January 24, 2022
- REMINDER: Secure a seat on the bus for the Wednesday TOURS! Sign-up at the on-site conference registration. List of tours will be listed soon.
Please check all that apply
First Time Attendee to a TX-APWA Workshop
First Time Attendee to a TX-APWA Education Event
Past / Present President of TX-APWA Chapter
Speaker at the TX-APWA Workshop
TX-APWA Younger Professional (Under 35)
Award Recipient at the TX-APWA Workshop (award winner receives complimentary ticket + guest)
Which type of registration would you like to purchase?
Full Delegate Registration [Tuesday & Wednesday] (+$0.00)
Cost of registration has been waived because you selected that you are a Past / Present President of Texas APWA Chapter.
NOTE: Full Delegate Registration includes...
- Monday Welcome Reception at 6:00PM
- Tuesday full day of classroom training and meals
- Wednesday half day classes (two tracts), Roadeo and field hands-on training and Awards Luncheon.
- REMINDER: Secure a seat on the bus for the Wednesday TOURS! Sign-up at the on-site conference registration. List of tours will be listed soon.
Next
First Name [As you want shown on name badge]
*
Last Name
*
Address
*
City
*
State
*
TX
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Email
*
Email
Confirm Email
Phone
*
Company/Organization
*
Please use the
Next
/
Previous
buttons below if you need to make changes to your registration.
WARNING: IF YOU USE YOUR BROWSERS BACK BUTTON YOUR INFORMATION WILL BE LOST.
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Which meals/events will you be attending?
Monday Welcome Reception
Tuesday Breakfast
Tuesday Lunch
Tuesday Night Social (+$30.00)
Tuesday Night YP Event
Wednesday Breakfast
Wednesday Awards Luncheon
Wednesday Equipment Roadeo
Wednesday Tours - signup for your tour at the on-site conference registration.
Due to limited seating, you are required to pre-register for the meals/events you will be attending. You will be required to provide a ticket to gain entry into the meals/events listed above.
FOR GUEST ONLY! Attendee do you require any additional event tickets for your guest(s)?
Additional Guest Tickets - Monday Welcome Reception
*
0 Tickets (+$0.00)
1 Tickets (+$15.00)
2 Tickets (+$30.00)
3 Tickets (+$45.00)
4 Tickets (+$60.00)
5 Tickets (+$75.00)
Additional Guest Tickets - Tuesday Breakfast
*
0 Tickets (+$0.00)
1 Tickets (+$15.00)
2 Tickets (+$30.00)
3 Tickets (+$45.00)
4 Tickets (+$60.00)
5 Tickets (+$75.00)
Additional Guest Tickets - Tuesday Lunch
*
0 Tickets (+$0.00)
1 Tickets (+$20.00)
2 Tickets (+$40.00)
3 Tickets (+$60.00)
4 Tickets (+$80.00)
5 Tickets (+$100.00)
Additional Guest Tickets - Tuesday Night Social
*
0 Tickets (+$0.00)
1 Tickets (+$30.00)
2 Tickets (+$60.00)
3 Tickets (+$90.00)
4 Tickets (+$120.00)
5 Tickets (+$150.00)
Additional Guest Tickets - Wednesday Breakfast
*
0 Tickets (+$0.00)
1 Tickets (+$15.00)
2 Tickets (+$30.00)
3 Tickets (+$45.00)
4 Tickets (+$60.00)
5 Tickets (+$75.00)
Additional Guest Tickets - Wednesday Awards Luncheon
*
0 Tickets (+$0.00)
1 Tickets (+$25.00)
2 Tickets (+$50.00)
3 Tickets (+$75.00)
4 Tickets (+$100.00)
5 Tickets (+$125.00)
Please use the
Next
/
Previous
buttons below if you need to make changes to your registration.
WARNING: IF YOU USE YOUR BROWSERS BACK BUTTON YOUR INFORMATION WILL BE LOST.
Previous
Next
Chapter Leadership Training Registration
What chapter are you affiliated with?
*
Texas
Oklahoma
Arizona
New Mexico
What branch are you affiliated with?
*
Central Texas
North Central Texas
Paso Del Norte
Permian Basin
Rio Grande Valley
Southeast Branch
South Central Branch
West Central Branch
Unknown
Do you currently hold a leadership position in your local Branch or Texas Chapter?
*
Yes
No
Do you have an interest in a leadership position in your local Branch?
*
Yes
No
Maybe
Do you have an interest in a leadership position in the Texas Chapter?
*
Yes
No
Maybe
Please use the
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Previous
buttons below if you need to make changes to your registration.
WARNING: IF YOU USE YOUR BROWSERS BACK BUTTON YOUR INFORMATION WILL BE LOST.
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General Release
*
Yes, I have read and agree to abide by the Code of Conduct and follow all General Rules.
Click
here
to read the Code of Conduct.
Please use the
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buttons below if you need to make changes to your registration.
WARNING: IF YOU USE YOUR BROWSERS BACK BUTTON YOUR INFORMATION WILL BE LOST.
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Amount Due
$ 0.00
How would you like to pay?
*
Credit Card
Check or Money Order
Purchase Order
Credit Card Number
*
Security Code
*
Expiration Date
*
Format: MM/YY
(Please double check your credit card has not expired!)
Cardholder's Name
*
Cardholder's Billing Address
*
Cardholder's City
*
Cardholder's State
*
Cardholder's Zip Code
*
Cardholder's Email Address
*
Please make payable to TX-APWA Chapter, and mail to address shown below:
IMP/International Meeting Planners, Inc.
Attn: Anna Flores
P.O. Box 10307
Corpus Christi, Texas 78460-0307
If sending overnight package(s) please use physical address:
2830 Tumbleweed Drive, Corpus Christi, Texas, 78410
Purchase Order Number
*
Full Name of Purchase Order Contact
*
Phone Number of Purchase Order Contact
*
Please include area code (Example: 555-123-4567)
Email of Purchase Order Contact
*
Email
Confirm Email
Purchase Order Billing Address
*
Purchase Order Billing City
*
Purchase Order Billing State
*
Purchase Order Billing Zip Code
*
Please use the
Next
/
Previous
buttons below if you need to make changes to your registration.
WARNING: IF YOU USE YOUR BROWSERS BACK BUTTON YOUR INFORMATION WILL BE LOST.
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