2023 WMCA Convention Registration (Credit Card) Name* First Last Company Email* I Would Like To... Register for Both Days and the Golf Outing Register for Day One and the Golf Outing Register for the Golf Outing Only Register for Both Days Register for Day 1 Register for Day 2 Register as a Diamond Club Member Register as a Haul of Fame Member Purchase a Sponsorship Purchase a Vendor Booth CHECK ALL THAT APPLYIs Your Company a WMCA Member? Yes No Thank You! Your registration is complimentary. Price: Thank You! Two of your registrations are complimentary. Price: Name of Complimentary Attendee First Last Name of Complimentary Attendee First Last Register for Both Days and Golf (enter number of people) Quantity Price: $350.00 Quantity Register for Day 1 and Golf (enter number of people) Quantity Price: $175.00 Quantity Register for Golf Only (enter number of people) Quantity Price: $100.00 Quantity Register for Both Days (enter number of people) Quantity Price: $250.00 Quantity Register for Day 2 (enter number of people) Quantity Price: $200.00 Quantity Register for Day 1 (enter number of people) Quantity Price: $75.00 Quantity Please Enter All Names First Last Please Enter All Names First Last Please Enter All Names First Last Please Enter All Names First Last Vendor Booth Purchase Price: Vendor Booth Purchase (Non-Member) Price: Do you need to register anyone else for meals and receptions? Yes No, I am staffing the booth on my own. Register for Both Days (number of staff) Quantity Price: $150.00 Quantity Register for Day 2 (number of staff) Quantity Price: $100.00 Quantity Additional Staff Name First Last Additional Staff Name First Last Please Select a Sponsorship Major - $5,000 Elite - $4,000 Breakfast - $3,000 Chairman's Dinner - $3,000 Chairman's Dinner Bar - $2,000 Opening Night Bar - $2,000 Appetizers - $2,000 Dessert - $2,000 Platinum - $1,500 Gold - $1,000 Silver - $750 Bronze - $500 Major Sponsor Price: Elite Sponsor Price: Platinum Sponsor Price: Gold Sponsor Price: Silver Sponsor Price: Bronze Sponsor Price: Opening Night Reception (Host Bar) Price: Opening Night Reception (Appetizers) Price: Dessert Table Price: Chairman's Dinner (Host Bar) Price: Breakfast Buffet Price: Chairman's Dinner Price: Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter All Attendee Names (Both Days) First Last Please Enter Attendee Name (Both Days) First Last Please Enter All Attendee Names (One Day) First Last Please Enter All Attendee Names (One Day) First Last Please Enter All Attendee Names (One Day) First Last Please Enter Attendee Name (Opening Night Only) First Last Billing Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secure Credit Card Card Holder* Card Number* Card Expiration* Card CVV* Transaction Fee Price: Total $0.00 CAPTCHA
