Conference Registration

Name
Agency or Business
Address
Telephone
Email

Registration Type
Regular     Student

Attendance
Thursday Only     Friday Only     Both Days

Payment Method
Will Mail Check or PO     Will Pay at Conference

Payments should be mailed to :

WIPCOD
P.O. Box 0174

Waukesha, WI           53187-0174

For questions about registration call: Jenny Cooke at 608-266-4283