Governance Conference
Partner Registration Form

We are excited to have you join us for the conference!

Partner Registration is ONLY OPEN to current AMISA Partner Members. If you are not a current Partner Member and would like to attend the conference, please contact Terri Williams at terri[at]amisa.us.

Primary Representative Information

Choose PARTNER MEMBER ORGANIZATION

Primary Representative FIRST NAME

Primary Representative LAST NAME

Primary Representative ORGANIZATION EMAIL

Dietary Restrictions:

Registration includes one exhibitor table, conference meals, and conference credentials.

Registration Cost:

Partner Representatives

$959.00 for first attendee + exhibitor table
$659.00 for each additional attendee
$659 for partners not exhibiting

Platinum/Gold Partners Using a Free Registration Benefit

$300 for first attendee for the exhibiting table
$659 for each additional attendee

Will you be exhibiting at the conference?*

Yes

If you are a Platinum or Gold Partner, are you wanting to use any remaining Comp Event Registration benefits?

Yes

Additional Representatives

Please choose how many ADDITIONAL REPRESENTATIVES will be attending (not including yourself):

Additional Representative #1 First Name

Additional Representative #1 Last Name

Additional Representative #1 Email

Conference Sponsorship

Showcase your organization and support our conference by exploring a variety of sponsorship opportunities.

Yes, please contact me.

Not this time.

Sponsorship Information and Options

Checking this box indicates all registered participants are aware of the AMISA Conference Policy.

Consumer Policy

An invoice will be emailed to you once the form is submitted.

Governance Conference Partner Registration Form

Registration Cost:

Additional Representatives

Conference Sponsorship

Consumer Policy

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Governance Conference
Partner Registration Form