ICIMA 2018 Spring Conference Registration
Event Timing: May 17 & 18, 2018

Event Location: Champaign County
Event Address: 1776 East Washington Street Urbana, Illinois 61802-4581

http://www.co.champaign.il.us/HeaderMenu/Home.php

Contact us at 630-444-3080 or laskycharles@co.kane.il.us

Cost: FREE - As all hotel accommodations have filled up at our hotel, you will need to arrange your own accommodations if plan to stay overnight in the area.

Email address *
Name *
Your answer
Phone Number *
Your answer
County *
Your answer
What days will you attend? *
Required
Will you be staying overnight in the hotel? *
I understand that I will have to pay $160 by Arpil 27, 2018 *
Required
Payment
Please complete this form and submit payment for $160 per attendee by April 27, 2018 to:

ICIMA c\o Kane County I.T. Department
Attn: Charles Lasky
719 S. Batavia Ave
Geneva, IL 60134

Paying by Check:
The check must be made out to:
ICIMA

Paying by Credit Card:
If you would like to pay by credit card, email laskycharles@co.kane.il.us and he will send you a PayPal request to pay which will allow you to pay by credit card

Thank you for joining us for the 2018 Spring ICIMA Conference

Would you like a payment request sent to your email so you can pay by credit card without a PayPal account:
Other comments or requests
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms