|
Register for 2012 GIOA Conference:
Please complete the form below to register. Then click the Next button to verify your information. You will then be able to pay by PayPal.
Note: Your GIOA membership is included with the Conference Registration Fees.
|
|
Pre-Conference Workshop:
I would like to attend the 8:00am-4:00pm pre-conference workshop on Wednesday, March 21, 2011.
(Government Attendees only).
|
| |
Yes - No Charge
No
|
|
Conference Registration Fees:
|
|
|
The conference is being held at Monte Carlo Resort & Casino in Las Vegas March 21-23, 2012. For hotel reservations, please visit www.montecarlo.com, or call 800-311-8999, and use group code XGIOA03. The room rate is $55, plus a mandatory $15 resort fee, and is good until February 20, 2012. There is a limited block of rooms, so please book early!
|
|
|
Registrant Information:
* indicates a required field |
|
First Name:*
|
|
|
Last Name:*
|
|
|
Your name, as you want it printed on your badge (if different from First Name and Last Name above):
|
|
|
Email Address:*
|
|
|
Confirm Email Address:*
|
|
|
Job Title:*
|
|
|
Entity:*
|
|
|
Street Address:*
|
|
|
City:*
|
|
|
State:*
|
|
|
Zip Code:*
|
|
|
Phone Number:*
|
|
|
T-Shirt Size:*
|
XX-Large
X-Large
Large
Medium
Small
|
|
How would you like to pay?*
|
PayPal
(does not require a PayPal account
for payment by Visa, MasterCard,
Discover, or American Express)
Mail a check
|
|
|
