2019 Iowa IAI Educational Conference and Business Meeting Registration
Name of Person Attending
I am a current member, please extend my membership through 2019
I am a Lifetime member and qualify for the discounted conference rate of $65.00
I am not a current member but plan on submitting an application form before or at the conference
I will be attending the conference but am not interested in becoming a member
I am a student and qualify for the discounter rate of $45.00. Please bring proof of enrollment.
Payment Type - Payment must be submitted prior to the conference unless arrangements have been made.
Payment will be mailed to Cortney Watson, 22 North Center Street, Marshalltown, IA 50158
PayPal Transaction #
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service