Virginia AER 2019 Conference Registration: "Small Steps, Great Leaps, Continuing the Vision"
Complete this form to register for the Virginia AER Conference.
If you have any questions about Registration please email virginiaaer.treasurer@gmail.com
Email address *
Registration Fees
AER Members: $210.
Non-Members: $260.
Late Registration (After January 25, 2019)
AER Members: $240
Non-Members: $290
Day Rate: $130 for single day
Last Name *
Your answer
First Name *
Your answer
Name as you want it to appear on your name tag *
Your answer
Are you a current AER member? *
AER Member Number
Your answer
Phone *
Your answer
Address (complete address, including city, state, and zip) *
Your answer
District or Agency *
Your answer
Position *
Your answer
Days you plan to attend the conference *
Required
Continuing education credits will be available for the 2019 Vision Conference. Select credits you are seeking by checking all boxes that apply: (NOTE: All participants will be asked to complete an electronic feedback form for each session they attend via a google doc.)
Are you a presenter?
Please indicate any accommodations you require.
Do you have any dietary restrictions?
Payment Method
A copy of your responses will be emailed to the address you provided.
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