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2017 TCAPWA & SWANA
   Annual Joint Conference

    NOVEMBER 7- 9, 2017 – KNOXVILLE

HOLIDAY INN WORLD’S FAIR PARK & CONFERENCE CENTER

REGISTRATION FORM

Name__________________________________________________________ Title________________________________________________________
Address________________________________________________________ City ______________________ State ______ Zip___________________
City/Company ______________________________________________________________________________________________________________
Phone ___________________________________________________ Email____________________________________________________________

Agency Affiliation (check all that apply): ___ TCAPWA ___ SWANA ___ Young Professional (35 and under)

ADVANCED Full Registration (must be received on or before October 7)        Member	  _______ @ 	 $295	 = $_________

     Includes: Wednesday Rodeo Lunch and Branch Reception,                  Non-Member	 _______ @ 	 $325	 = $_________
     and Thursday Breakfast, Lunch, and Technical Sessions
                                                                            Member	  _______ @ 	 $25	 = $_________
ADVANCED Thursday Neyland Stadium Tour & Dinner Ticket

                                                                            Non-Member	 _______ @ 	 $50	 = $_________

ON-SITE Full Registration (if received after October 7)                     Member	  _______ @ 	 $325	 = $_________

     Includes: Wednesday Rodeo Lunch and Branch Reception,                  Non-Member	 _______ @ 	 $355	 = $_________
     and Thursday Breakfast, Lunch, and Technical Sessions
                                                                            Member	  _______ @ 	 $30	 = $_________
ON-SITE Thursday Neyland Stadium Tour & Dinner Ticket
                                                                            Non-Member	 _______ @ 	 $55	 = $_________
ONE-DAY Registration
                                                                            Member	  _______ @ 	 $195	 = $_________
     Includes: Thursday Breakfast, Lunch,
     and Technical Sessions                                                 Non-Member	 _______ @ 	 $225	 = $_________

Thursday Neyland Stadium Tour & Dinner Ticket                               Member	  _______ @ 	 $35	 = $_________
    (not including full registrants)
                                                                            Non-Member	 _______ @ 	 $60	 = $_________

SPOUSE/GUEST Registration                                                   		       _______ @ 	 $100	 = $_________

     Includes: Wednesday Rodeo Lunch and Branch Reception,
     and Thursday Breakfast, Lunch, and Technical Sessions

RODEO REGISTRATION (Wednesday, Nov. 8)                                      		       _______ @ 	 $30	 = $_________
                                                                            		       _______ @ 	 $300	 = $_________
RODEO - Individual Entry

     Includes: Wednesday Rodeo Lunch and Branch Reception

RODEO - Team Entry (more than 10 participants)

     Includes: Wednesday Rodeo Lunch and Branch Reception for each entrant
     Attach a list of names or email to markmiller@charter.net

GOLF REGISTRATION (Tuesday, Nov. 7)

GOLF Individual Entry (Three Ridges Golf Course)                            		       _______ @ 	 $50	 = $_________
    8:30 a.m. Shotgun Start (Includes Lunch & Beverage)                              $ ________________________

TCAPWA & SWANA THANK YOU!		                                 TOTAL AMOUNT E	NC	LOSED

Event Hotel: Holiday Inn World’s Fair Park, (844) 419-4621. Conference rate ($117) is available until October 8, 2017.
For additional information contact Mark Miller at (865) 850-1534 or email markmiller@charter.net. Make checks payable to TCAPWA and
mail to Mark Miller, P.O. Box 1350, Pigeon Forge, TN 37868 or register online at Tennessee.apwa.net. No invoices will be issued for fees.
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