Annual Meeting & Donation Registration

Complete the registration form below to confirm your attendance for our Annual Meeting and Holiday Luncheon on December 5th, 2024, 11 a.m. - 3 p.m. at the Hartford Marriott Downtown (200 Columbus Blvd., Hartford, CT).

NOTE: This meeting is open seating. Member rate is $110 per person, non-member rate is $130 per person.

NEW THIS YEAR - A complimentary Young Professionals session (40 years old and younger) is included for those paying for and attending the luncheon.

Please indicate below whether you'll be attending the Annual Meeting & Luncheon, and also if you are attending the Young Professional Session.

We ask for your support by contributing to our Scholarship Fund, Toys for Tots Charity, or both. BUT this is not required to attend.

Membership Status

Member Honorary Non-Member

Company Name

Your First Name

Your Last Name

Telephone

Zip Code

Are you attending the Annual Meeting?

Yes No

Are you attending the Young Professional Session?

Yes No

Additional Attendees

Attendee 1

Membership Status

Member Honorary Non-Member

Company Name

First Name

Last Name

Is this guest attending the Young Professional Session?

Yes No

Attendee 2

Membership Status

Member Honorary Non-Member

Company Name

First Name

Last Name

Is this guest attending the Young Professional Session?

Yes No

Attendee 3

Membership Status

Member Honorary Non-Member

Company Name

First Name

Last Name

Is this guest attending the Young Professional Session?

Yes No

Attendee 4

Membership Status

Member Honorary Non-Member

Company Name

First Name

Last Name

Is this guest attending the Young Professional Session?

Yes No

Attendee 5

Membership Status

Member Honorary Non-Member

Company Name

First Name

Last Name

Is this guest attending the Young Professional Session?

Yes No

DONATIONS (VOLUNTARY)

Support One or Both. Scholarship Donations to support WAI, IWCS, and ACC

Toys for Tots Charity

No thank you $50 $100 I'm feeling generous

Scholarship Support

No thank you. $100 $150 I'm feeling generous