Registration for Convention

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Convention Registration Form

Red asterisks indicate fields that are required.

* Indicates required field

Name *

First

Last

Address *

City *

State *

Zip *

Home or Cell Phone *

Office Phone *

Email *

First Time Attending Convention *

No Yes

Dietary Restristions: Please list.... *

Members

Select a Local Organization *

I am registering as (please choose one)

Category *

State Officer Regional Director Standing Committee Chair LO President (2017-2018) Local President's Representative Governance Chair Past State President Local Delegate [MOL or SOL] Local Member (1 Day) Parliamentarian Sub/Special Committe Chair Member-at-Large Member-at-Large (1 Day) Young Careerist-ALT Visitor (non-member) Guest

Registration Fees

Please check the functions you plan to attend: *

Registration Fee $40.00 Friday Dinner $20.00 Saturday Luncheon $15.00 One Day Registration $15.00 Visitor Registration $15.00

Select all that apply. Payment totals are included in the dropdowns for PayPal.

For One Day Registrations choose one: *

Friday Saturday

**One-Day registrants not eligible to VOTE in elections or business meetings and receive may not a convention book.

Payment Option (Additional instructions on Confirmation Page) *

PayPal Check

Select an option of payment

Notice for State Officers, Regional Directors, Standing Committee Chairs, Parliamemtarian, Immediate Past State President, Governance Chair.

SEND CHECK FOR NON-EXEMPT EVENTS ONLY

Click here to complete and submit your registration...

Business and Professional Women of Tennessee
2817 West End Ave, Suite 126 - 122
Nashville, TN 37203

Contact eMail
info@bpwtn.org
webmaster@bpwtn.org