MEETING ATTENDEE REGISTRATION
This form can only be used for one attendee and spouse/guest.

New Members! To apply your New Member Initiation Fee of $400 to this meeting please enter 400INI in the promotion code field below.

AUTO FILL YOUR REGISTRATION BY CLICKING HERE

* Denotes Required Field
Contact Information
*
First Name / Last Name
Title
*
Company
*
Address
Address 2
*
City, State/Province,
*
Zip
Country
*
Phone
      Fax
Cell Phone
*
Email
Invalid format.
*
Please Confirm your email address
** Required **The values don't match.
Meeting Specifics
Badge Name
(If different than first name)
First Time Attendee?
Special Needs:
Food Allergies?
Spouse/Guest Contact Information
Spouse/Guest Name
(If attending)
Badge Name
(If different than above)
Email
Phone
Child Name(s)/Age(s)
(If attending)
Emergency Contact Information
Emergency Contact Name
Emergency Contact Phone
Relationship
Registration Options - Required
SWR Institute Members - (includes the Sunday Opening Reception; Monday and Tuesday breakfasts, lunches and breaks, Wednesday breakfast; educational sessions; and Tuesday Evening Murder Mystery Dinner on the Queen Mary)
$795.00
Non-Member - (includes the Sunday Opening Reception; Monday and Tuesday breakfasts, lunches and breaks, Wednesday breakfast; educational sessions; and Tuesday Evening Murder Mystery Dinner on the Queen Mary)
$995.00
Sponsored Non-Member - (Choose this option if the registration fee for the attendee is being paid by a different company than their own.) - Details
$795.00
Single Day - Monday -(includes all educational sessions and materials on Monday only; Monday continental breakfast, lunch and breaks
$350.00
Single Day - Tuesday - (includes all educational sessions and materials on Tuesday only; Tuesday continental breakfast, lunch and breaks and Tuesday Evening Murder Mystery Dinner on the Queen Mary)
$450.00
Single Day - Wednesday -(includes all educational sessions and materials on Wednesday only; Wednesday continental breakfast, and breaks - Details
$250.00
Please make a selection.
Extra Events/Options
Full Spouse Program  - Details Qty: $425.00
Sunday and Tuesday's Murder Mystery Dinner on the Queen Mary  - Details Qty: $300.00
Surf City Segway Tour  - Details Qty: $125.00
Required Questions
*
Are you interested in registering for AIA/CES Credit?
YesNo
Required
*
Are you interested in registering for RCI Credit?
YesNo
Required
*
Will you be riding in the transportation provided by SWR Institute to Tuesday Murder Mystery Dinner?
YesNo
Required
Other Questions
If a manufacturer is sponsoring your attendance at this meeting, please list the person's name and company.

*** Payment ***
Please select that you will be paying by check on the next screen and we'll invoice the manufacturer.
I am a: Contractor
Manufacturer
Associate
Other
Golf Registration
Yes, Sign me up for SWR Foundation Golf (click here for more info)
Course: Oak Creek Golf Course
Fee: $175.00
Rental Club Fees: $50.00
Please note your handicap
Rental Clubs
Foursome Request
Do you need transportation to the course?  
Please tell us how you heard about this meeting


Other:
My-Registration.com