MITAS 2020 User Conference
April 5-8, 2020
Questions:
800.814.6482, Sherrie Mitas
administration@mitas.com
MITAS 2020 User Conference Registration

The registration fee is $695 for each attendee. Registration fee includes all meals Monday and Tuesday, breakfast on Wednesday, and admission to all conference sessions. Conference registration closes March 6, 2020.

Please complete the following information for each conference registrant. If needed, please submit multiple registration forms for your agency.

Once we have received your registration, your agency will be billed for each attendee registered. You may submit the registration form by using "Submit" or you have the option to pay with PayPal using "Submit & Pay by Credit Card".

Agency Name:

Contact Name for Registration Questions:

Phone Number:

Email Address:

Mailing Address:

City:

State:

Zip Code:



Attendee 1

First & Last Name:

Current Position:

Phone:

Emergency Contact First & Last Name:

Emergency Contact Phone Number:

Special Diet or Food Allergies:

Monday Lunch Choice:
Special Notes and Remarks:




Attendee 2

First & Last Name:

Current Position:

Phone:

Emergency Contact First & Last Name:

Emergency Contact Phone Number:

Special Diet or Food Allergies:

Monday Lunch Choice:
Special Notes and Remarks:




Attendee 3

First & Last Name:

Current Position:

Phone:

Emergency Contact First & Last Name:

Emergency Contact Phone Number:

Special Diet or Food Allergies:

Monday Lunch Choice:
Special Notes and Remarks:




Attendee 4

First & Last Name:

Current Position:

Phone:

Emergency Contact First & Last Name:

Emergency Contact Phone Number:

Special Diet or Food Allergies:

Monday Lunch Choice:
Special Notes and Remarks:




Attendee 5

First & Last Name:

Current Position:

Phone:

Emergency Contact First & Last Name:

Emergency Contact Phone Number:

Special Diet or Food Allergies:

Monday Lunch Choice:
Special Notes and Remarks:



Submit   or   Submit & Pay by Credit Card

If you need to register for more than 5 attendees, please fill out a new registration form and submit.

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