October 19-20, 2017 Louisville KY
How to Use this Form
- Complete form. Please note all required fields.
- Be sure to indicate which sessions you plan to attend to ensure your reserved seating.
- Be sure to indicate your method of payment (credit card or check).
- Click “Submit” button upon completion.
NOTE: Individual registration forms must be completed and submitted for each person planning to attend from your organization.
Cancellations/Refunds of Registrations
Cancellations/Refunds prior to 10/01/17 will incur a $50 processing charge per Registrant. Cancellations thereafter are non-refundable. All cancellations/refunds must be submitted in writing via email or regular mail to address below.
303 Middletown Park Place, Suite B
Louisville, KY 40243
Please include the following information for each Registrant:
- Full Name
- Registration ID No.
- Payable to:
- Payee Mailing Address
*Refund requests will be processed upon completion of the Conference.