2. Cancellation Policy: There is a $10.00 fee for handling any credit card refunds.
4. Full refunds (minus the $10.00 handling charge) will be made until three days prior to the conference. Registration cancellations made later than three days prior to the conference will not be refunded.
6. Name:
8. Title:
10. Address
12. City
13. State
14. Zip Code
16. Municipality or Company:
18. Municipality, State, Zip:
20. Fax Number:
22. Email Address:
24. I require accommodations regarding a disability or dietary requirement:

    1. Yes

    We will contact you to make arrangements.
26. Tuition is $130 (members) and $155 (non-members) including Safety & Building fee. Banquet: $20. Guests: $40 (includes Wednesday reception, Thursday tour and banquet). Only officials of cities and villages that are currently members of the League of Wisconsin Municipalities may register as “members.”
28. Member/ Nonmember:

    1. Member ($130)
    2. Non-member ($155)
30. I will attend the Welcoming Reception Wednesday:

    1. Yes
    2. No
32. My Guest's Name is:
34. Guest will attend the Welcoming Reception Wednesday:

    1. Yes
    2. No
35. Guest will attend Thurs. Banquet:

    1. Yes
    2. No
37. Name on the credit card you are using for this purchase:
39. Member/Nonmember Fee: $0
41. Banquet Fee: $0.00
43. Guest Fee: $0.00
45. Total Fees: $0.00
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field