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Convention Registration Form
Red asterisks indicate fields that are required.
*
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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
*
Chattanooga Business Women
Columbia BPW
Elizabethton BPW
Hardeman County BPW
Jackson Area BPW
LaFollette BPW
Lawrence County BPW
Memphis Area BPW
Music City Nashville
Paris BPW
Rockwood BPW
Rogersville BPW
At Large
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.
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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...
Home
Who We Are
Members Stories
State Roster
Local Organizations
Past State Presidents
The Collect
Membership
Membership Application Form
Benefits of Membership
Platforms & Programs
Scholarships
Legislative Platform
Program Platform
Scholarship Winners
Women Joining Forces
Events
Walk-RunInformation
Day on the Hill
Interim Board
Past Events
>
100th Annual Convention
Resources
State Forms & Docs
Local Forms & Docs
Publications
Convention Reports
Go Vote TN
Media