ONLINE REGISTRATION

Please fill out the online registration form below. This involves two separate steps.

STEP ONE

First Name:

Last Name:

Company:

Position/Title:

Street Address:

City:

State:

Zip Code+4

Phone:

Fax:

E-mail:

Vegetarian Lunch?:

Yes

Registration Type:

(The quota for students has been reached. We can no longer take student registrations. We will continue accepting other types of registrations. Thank you.)

Industry and Government ($100)

Non-WMU Faculty and Staff ($50)

WMU Faculty and Staff ($0)

Other (Please enter registration code in the box below.)

If you received a registration code from us, please enter it here. If not, please leave it blank.

The registration fee includes all conference handouts, continental breakfast, lunch buffet, and morning and afternoon coffee/snack breaks.

Payment Method:

Credit Card:

Check:

Please tell us where you heard about WMU-HcoB IT Forum?

STEP TWO

We cannot process payment online at this time. If you would like to pay by a credit card, please call Ms. Cheri Edgar at (269) 387-5410 or 387-5411 to process your payment. For checks, please send them to the address listed at the beginning of this page.