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Event Registration

Annual Conference 2019- Feb. 6-7, 2019

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(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Continue".
Info for event reg and membership
By registering for this NASECA-WI Event, I agree and acknowledge that I am participating on my own accord. I give this acknowledgement freely and knowingly and I represent and warrant that I am physically and mentally fit and that, as a result, able to participate, and I do hereby assume responsibility for my own well-being. I am fully aware that possible physical injury might occur to me as a result of my participation, and I agree to assume the full risk, including risk which is not specifically foreseeable, of any injuries, including death, damages or loss regardless of severity, which I may sustain as a result of participating in any and all activities connected with or associated with the Event. In consideration of the right to participate in the Event, I hereby waive any and all rights or claims I may have as a result of participation in the Event against NASECA-WI and its respective directors, officers, employees, members, staff, and all individuals assisting in instructing and conducting these activities, and I hereby fully release and discharge them from any and all claims resulting from injuries, including death, damages or loss, which may accrue to me or my heirs arising out of or in any way connected with my participation in the Event. I further agree to indemnify, defend, and hold harmless NASECA-WI and its respective directors, officers, employees, members, staff, and all individuals assisting in instructing and conducting these activities, from any and all claims resulting from injuries, including death, damages, or loss, which may accrue to me or my heirs arising out of or in any way connected with my participation. I hereby grant NASECA-WI permission to use any photo(s), video(s), written statement(s), and all other forms of media that includes my and/or my dependent’s likeness in any and all of its publications, ads, and Web sites, in any form or media, including social media sites such as, but not limited to, Facebook, Twitter, and Instagram, without payment or any other consideration.
Event Fee(s)


Attendees are invited to join us for food, drinks, & prizes at the sponsored reception, Feb. 6 at 4:30 pm.


Exhibitor Registration/Conference Sponsorship does not include Conference registration.
You MUST also choose Full Conference Registration above to complete your Exhibitor Registration.


Credit Card Information
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Billing Name and Address
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