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WiRSA Conference.................... October 28-29, 2019 Glacier Canyon Lodge Wisconsin Dells Vendor/ Sponsor Registration
Vendor registration includes two registrations, booth with skirted table and two chairs.
Electricity is an additional cost of $25 per day.
If you are interested in becoming a Conference Sponsor, please complete the Sponsor section below.

*Please be advised that WiRSA Members get first chance to claim a booth. Second chance to claim a booth go to those that had a booth last year. Third chance to claim a booth goes to non-members.

*Please be advised that WiRSA has the right to refuse a registration, if the registrants’ mission and philosophy do not align with the mission and philosophy of WiRSA.

Email address *
Registrant Name *
Your answer
Organization/ Business/ Position *
Your answer
Name of Main Contact/ Email/ Phone *
Your answer
2nd Registrant (included in fee)
Your answer
3rd Registrant ($90 Member or $140 Non-Member)
Your answer
4th Registrant ($90 Member or $140 Non-Member)
Your answer
5th Registrant ($90 Member or $140 Non-Member)
Your answer
Vendor Booth Registration *
Required
Sponsorship As a Sponsor, your logo will be displayed on all conference materials, banners, table placards of designated meals/ breaks. Your logo will also be listed in our Weekly Update and posted on our website throughout the year.
Payment Method *
Billing Information (Provide Name, Email and Phone) *
Your answer
Meals
To reduce food waste, we are asking for your help with attendance at each of our events. Please select how many people will be attending the following functions throughout the conference.
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2
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5
Welcome Reception (Sunday Evening)
Breakfast (Monday)
Lunch (Monday) WiRSA Award Ceremony
Evening Reception/ Auction (Monday)
Breakfast (Tuesday)
WiRSA Auction on Monday Evening, October 28 *
To raise additional monies for student scholarships for our member schools, we have added an auction to our conference. Each attendant is asked to bring an item that represents their hometown/ business.
Required
If you have any questions, please contact Kim Kaukl at (608) 553-0689 or kimkaukl@wirsa.org
Your answer
A copy of your responses will be emailed to the address you provided.
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