WISCONSIN PARK & RECREATION 2012 ANNUAL CONFERENCE AND TRADE SHOW registration form. To register for the conference or trade show, please fill out the appropriate information below. You may choose to be invoiced for the registration fee or include your credit card information below.

2012 WPRA Annual Conference and Trade Show Registration

* Please note, hitting the ENTER button will complete your form. DO NOT hit the enter button. Use the tab button. Thank you.

* First Name

* Last Name

* Title

* Organization

* Address

* City

* State

* Zip Code

* Business Phone

* Email Address

* Are you a current 2012 WPRA Member?

Yes

No

* Is this your first WPRA Conference?

Yes

No

* Please choose your appropriate registration category

3 Day Conference Attendee (student or professional)

Daily Conference Attendee

Exhibitor for Trade Show

Emeritus Registration (Thursday Only - Banquet Night this year)

Spouse Registration

3 Day Conference Registration Information

Please check the appropriate package that you are registering for? The 3 day packages below include meals, exhibit hall and socials plus a 3 day favor.

3 Day Member Professional Package ($300.00)

3 Day Non-Member Professional Package ($415.00)

3 Day Student Member Package ($100.00)

3 Day Non-Member Student Package ($140.00)

Meals That You Plan On Attending (Meals are included on the days that you are registered for HOWEVER, you must mark the meals that you plan on attending in order to receive tickets.

Wednesday Networking Box lunch

Thursday Awards Banquet

Vegetarian Meal Option: Please check here if you are requesting a vegetarian meal option.

Vegetarian Meal Option

If you are registering for the conference after October 1st you must check the late fee box below for an additional $25.00.

I am registering after October 1st. (The $25 fee will be charged to anyone registering after October 1)

Late Fee ($25.00)

This Section is for those registering as a daily conference attendee.

Please choose which days you are registering for. (Daily fees include meals, exhibit hall and socials) - If you are registering after October 1st you must also check the $25 late fee box)

Meals That You Plan On Attending (Meals are included on the days that you are registered for HOWEVER, you must mark the meals that you plan on attending in order to receive tickets.

Wednesday Networking Box Lunch (included in Wednesday only)

Thursday Awards Banquet (included with Thursday only)

Vegetarian Meal Option: Please check here if you are requesting a vegetarian meal option.

Vegetarian Meal Option

Spouse Registration Information (Must fill out a separate form - please do not combine with another registration)

Spouse Package. (Includes meals, exhibit hall and socials - NO Sessions)

Wednesday ($100.00)

Thursday ($100.00)

3 Day Package($150.00)

Late Fee Per Day - after Oct. 1 ($25.00)

Meals That You Plan On Attending (Meals are included on the days that you are registered for HOWEVER, you must mark the meals that you plan on attending in order to receive tickets.

Wednesday Networking Box Lunch

Thursday Awards Banquet

Vegetarian Meal Option: Please check here if you are requesting a vegetarian meal option.

Vegetarian Meal Option

Emeritus Package (Please check if you will be attending on the Thursday complimentary day. Any other days that you will be attending you must register for at the regular registration rate. Thank you.

EMERITUS PACKAGE (For Retired Members) ** The registration fee is waived for THURSDAY ONLY. Check here if you will be attending on Thursday.

Yes

No

** For Emeritus ONLY - If you are attending on Thursday, please mark if you will be attending the Thursday night awards banquet?

Thursday Night Banquet ($0.00)

ADA Compliance

ADA Compliance. Please complete this section if you require special accessibility or accommodations. My requirements are:

* If you are ready to finalize your registration please choose the YES box below to take you to the payment screen.

Yes

No

Exhibitor and Trade Show Registration

Please Register my company for the WPRA Trade Show. If you are registering by Janauary 31, but You MUST have exhibited in 2011 to take advantage of this rate. Please register in the following section.

Member - Booth #1 ($425.00)

Member - Booth #2 ($400.00)

Non-Member - Booth #1 ($625.00)

Non-Member - Booth #2 ($600.00)

Electric Hook Up #1 ($75.00)

Electric Hook Up #2 ($75.00)

Please Register my company for the WPRA Trade Show. If you are registering after Janauary 31, but prioir to and including July 31, Please register in the following section.

Member - Booth #1 ($450.00)

Member - Booth #2 ($425.00)

Non-Member - Booth #1 ($650.00)

Non-Member - Booth #2 ($625.00)

Electric Hook Up #1 ($75.00)

Electric Hook Up #2 ($75.00)

Pleae use this section If you are registering Beginning August 1, or after Please register in the following section.

Member - Booth #1 ($475.00)

Member - Booth #2 ($450.00)

Non-Member - Booth #1 ($675.00)

Non-Member - Booth #2 ($650.00)

Electric Hook Up #1 ($75.00)

Electric Hook Up #2 ($75.00)

Please write in your top five choices for booth location. If all choices are taken we will place you as close to one of your choices listed as possible. Thank you.

	Choice #1	Choice #2	Choice #3	Choice #4	Choice #5
Booth Choices

Payment Options

Please click on the circle if you would like to help sponsor a student to attend the WPRA Conference.

Student Sponsor ($25.00)

* Please check the appropriate payment option:

Please invoice my organization (Must be a WPRA Member)

Please charge my credit card

Please see PO Number below

If you choose PO # above please provide that information here

Card Information

Card Number

Expiration Date (example: 12/10)

Thank you for completing your conference registration on-line. If you have chosen to be invoiced for your registration we will process your registration and e-mail you an invoice that we request that you submit with payment. If you have chosen to pay be credit card we will e-mail you your receipt. If you would like a copy of this registration please click submit below and you will be able to print a copy with your total amount due or paid listed.

* Please provide an e-mail where a copy of the information submitted will be sent.

* Indicates Response Required