MEETING REGISTRATION



Name : Title:

Your name as you want it to appear on your DSITE nametag:

Please complete / check the contact information:

Agency/Company: 

Address:

City: State: Zip:

Phone: E-mail:


Registration     $75
2018 DSITE Section Dues (If not paid)     $25
Student Registration (ITE Student Chapter Member)     $0
Spouse Meal at Social Event     $15

Attending Social Event on March 8th
Attending Breakfast on March 9th


Checks should be made payable to: Deep South ITE