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Conference Registration Shopping Cart
ONLINE REGISTRATION FORM
September 14-17
Topeka, Kansas
Membership Status
*Membership Status
I am a full member
I am not a member
I am a student
General Conference Registration Fees
*Full Member - Registration
  3 day attendance
*Non-Member - Registration
  3 day attendance
*Student (ID required) - Registration
  3 day attendance
Add a Spouse/Guest
  3 day conference
 Add to Cart
Conference Events
Sunday, September 14
Golf Tournament
  8:00am - 2:00pm
 Add to Cart
Road Bike Race
  8:00am - 11:00am
 Add to Cart
Mountain Bike Bike Race
  12:00am - 2:00pm
 Add to Cart
Monday, September 15
Business Lunch
  11:30am - 1:00pm
 Add to Cart
Choose Entree
Chicken Fish Beef Vegetarian 
Tuesday, September 16
Business Lunch
  11:30am - 1:00pm
 Add to Cart
Choose Entree
Chicken Fish Beef Vegetarian 
Wednesday, September 17
Business Lunch
  11:30am - 1:00pm
 Add to Cart
Choose Entree
Chicken Fish Beef Vegetarian 
Extras
Conference T-Shirt
  Mens SIzes
 Add to Cart
T-Shirt SIze
Small Medium Large X-Large 
Conference Coffee Mug
  Coffee Mug
 Add to Cart
Total
Personal Information
*E-Mail:Valid e-mail is required
*First Name:
*Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Date of Birth:
*Phone:
Name on Badge
Company:
Spouse/Guest Name:
Credit/Debit Card Information
*Card Number:No dashes or spaces please
*Expiration Month:From your card
*Expiration Year:From your card
*Card Brand:
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