2019 Tri-State Conference Registration Form
April 8-10, 2019. Stoney Creek Hotel & Conference Center. 3060 S Kinney Coulee Rd, Onalaska, WI.

Registration includes: Conference materials, all plenary and concurrent sessions, and the following meals: April 8, 2019: Evening Banquet; April 9, 2019: Breakfast, Lunch, and Evening Banquet; April 10, 2019: Breakfast. The Conference Opening Session will be Monday, April 8, 2019 at 1 pm.

Registration Deadline is Wednesday, March 20th or when conference capacity is met.

For More Information: http://bit.ly/2019TRIOTRISTATE

Email address *
First Name *
Your answer
Last Name *
Your answer
Program *
Position Title *
Your answer
Institution/Agency *
Your answer
How many years have you worked in TRIO?
Your answer
Are you a TRIO Alum? *
Dietary needs (please list)
Your answer
What accommodations, if any, do you need?
Your answer
Chapter *
(Optional) I would like to volunteer at the conference in these areas:
Registration Fees
REGISTRATION FEES for Current Active Membership in EOA—membership must remain current through April 2019. To check on your EOA membership status, visit www.eoa.org.

$325 Early Rate (Ends February 10)
$350 Regular Rate (February 11-March 10)
$400 Late Rate (March 11-March 20)

REGISTRATION FEES for Non-member or members expiring during the month of April (registration includes $80 EOA membership for one year if a completed EOA membership application is sent along with your payment). Become a member of EOA: http://eoa.org/content.aspx?page_id=22&club_id=254413&module_id=173781.

EOA Membership Application: https://docs.google.com/document/d/1G3V8Dn7ltg2G2DiSYrJvl_tzX4M3x20nhTG710CzLDA/edit

$405 Early Rate (Ends February 10)
$430 Regular Rate (February 11-March 10)
$480 Late Rate (March 11-March 20)

**Registration Deadline is Wednesday, March 20th or when conference capacity is met.**

Please Choose 1 Registration *
Payment Method *
Payment Instructions
To pay by check, mail payment (and EOA membership form if applicable) to your state chapter at the address below.

To pay by credit card or PayPal, please call your state's contact person below. Note, additional processing fees will apply.

Make checks payable to IOWA TRIO.
Send to:
Northeast Iowa Community College
Attn: Cindy Virta, TRIO SSS
8342 NICC Drive
Peosta, IA 52068.
Contact Cindy for credit card payments:
Virtac@nicc.edu (563) 556.5110 ext. 406
(additional processing fee of $12 for members
and $15 for non-members will apply).

Send to:
Century College
Attn: Caroline Merkl, TRIO ETS
3300 Century Avenue North
White Bear Lake, MN 55110.
Purchase order payment: MinnState Vendor #000217994-002
For online payments: http://bit.ly/reginfomation

Make checks payable to WAEOPP.
Send to:
Marian University
Attn: Alex Kurowski
45 S. National Avenue
Fond du Lac, WI 54935.

Cancellation and Late Payment Fee Policy
In case of cancellation, written refund requests must be mailed to your state's contact person above. A 30% processing fee will be assessed for refund requests received after March 10, 2019 and no refunds will be given after March 20, 2019. You may transfer your conference registration to another person, but they must fall under the same category you registered (member vs. non-member). ALL refunds will be mailed AFTER the Conference.

Please make registration payments to your state's chapter in a timely manner. At the discretion of each chapter, a late fee of $25 may be assessed to all unpaid registrations if the fee has not been received within 60 days of invoicing. Any registration fees that are still due beyond 90 days of the initial invoicing date may be assessed an additional $25 at the discretion of the chapter.

Hotel & Travel Information
The 2019 TRIO Tri-State Conference will take place at Stoney Creek Hotel & Conference Center 3060 South Kinney Coulee Road, Onalaska, WI 54650. Overnight accommodations for $93/night may be made by calling 1-800-659-2220. The Trio Tri-State block will be available until March 25, 2019 or until space is filled. Check-in time is 3 pm and parking is free. The Conference Opening Session will be at 1 pm Monday, April 8, 2019. We do anticipate the block to fill up quickly, so please make reservations early!
Conference Registration Contact Information
For registration questions, please contact Cassie Walizer at cassandra-walizer@uiowa.edu or call 319-335-1288. Or contact Wendy Ivarson at wendy.ivarson@witcc.edu or call 712-225-0238.
A copy of your responses will be emailed to the address you provided.
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