2024 PARTIAL AND COMMUTER REGISTRATION JULY 12

First Name

Last Name

Gender

Male

Female

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone

NO Contact Info Included

DO NOT Include Contact Information

We will prepare a list of contact information to share among those attending the convention. Please check if you DO NOT wish your information to be included.

NO Photos Included

DO NOT Include Photos of me

We will share photos of the convention with those attending and use them in team communication. Check if you DO NOT wish to include your photo.

Select One or Two Boxes Below, as applicable:

Complete ONE:

I am a team member

I am a participant attending Beginning Experience program(s)

I am a former team member (alumni)

I am a current member of the International Board of Directors

I am a former member of the International Board of Directors

I am a workshop presenter (slightly discounted rate available).

Activities and meals, only as indicated

Activities and meals ONLY; Select One:

Saturday 8 AM – 6 PM (includes only lunch)

Saturday dinner and dance (Single)

Saturday dinner and dance (Couple)

Sunday 8 AM – 1 PM (includes only box lunch)

Full Convention (Fri-Sun; meals Sat.-Sun.; WITHOUT lodging) *NEW*

Sunday tour (Clemens and Munsinger Gardens, and picnic)

Monday tour (paddle wheel boat tour on St. Croix River)

I would be interested in a Convention t-shirt.

Yes

(Interest will determine availability and cost. N.B. IMO must receive email with interest by June 14th.)

Special Dietary Considerations:

I am a: vegan

I am a: vegetarian

I am: gluten intolerant

I have physical limitations. Please Explain

NOTICE:

FINAL DATE TO REGISTER IS JULY 1, 2024.

TOTAL COST FOR REGISTRATION SELECTIONS

Payment Method(Required)

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

2024 PARTIAL AND COMMUTER REGISTRATION JULY 12 – 14

NOTICE: