2021 WCMA Annual Meeting and Donation Registration

Please Reserve Tables, Seats, and Sponsorships Below. NOTE: Table Reservations of 10 will include a company name card on the table. We combine partial seating lists to fill tables of 10 but call first to discuss.

Membership Status

Member Honorary (award recipient) Non-Member

Company Name

Your First Name

Your Last Name

Telephone

Zip Code

Are you attending the Annual Meeting?

Yes No

Additional Attendees

DONATIONS (VOLUNTARY)

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

Toys for Tots Charity

No thank you $50 $100 Other

Scholarship Support

No thank you. $100 $150 Other

Attendee 1

Membership Status

Member Honorary (award recipient) Non-Member

Company Name

First Name

Last Name

Attendee 2

Membership Status

Member Honorary (award recipient) Non-Member

Company Name

First Name

Last Name

Attendee 3

Membership Status

Member Honorary (award recipient) Non-Member

Company Name

First Name

Last Name

Attendee 4

Membership Status

Member Honorary (award recipient) Non-Member

Company Name

First Name

Last Name

Attendee 5

Membership Status

Member Honorary (award recipient) Non-Member

Company Name

First Name

Last Name