42nd  Annual NWCUCA Conference – June 8th, 9th & 10th, 2017 

Pease get in touch early on to reserve your space for next year’s conference!

To register online, fill out the form below and your registration will be sent in. You may also pay for additional advertising in our directory $50-$250 per ad based on size and graphics, please contact Celeste Erickson celeste.erickson@nwcuca.org for pricing.

The cost of the conference is $650 per vendor and includes a 6-foot booth and meals for one person. For additional attendees, meals can be purchased below.

Business Partner set up is scheduled for Thursday, from 2:00pm to 5:00pm. Teardown is Saturday, before 3:00pm (please make sure you do not disrupt attendees).

After completing the form below, registration funds must be made payable to NWCUCA and mailed to:

NWCUCA
c/o Missy Ray
301 W Wishkah St
Aberdeen, WA 98520


Business Partner Registration Form

Primary Contact Information

First & Last Name (required)

Title (required)

Mailing Address, City, State, Zip (required)

Phone Number (required)

Email Address (required)

Company Website

Meals
All meals are included for first attendee only.
No MealsAll MealsFriday BreakfastFriday LunchSaturday BreakfastSaturday LunchSaturday Dinner

Attending Saturday Night Dinner? (required)

YesNo

Attendee #2 Information (Optional)

First & Last Name

Title

Email

Phone Number

Mail Address (leave blank if same as above)

Meals
Please select any additional meals needed.
No MealsAll Meals ($200)Friday Breakfast ($35)Friday Lunch ($35)Saturday Breakfast ($35)Saturday Lunch ($40)Saturday Dinner ($50)

Attending Saturday Night Dinner?

YesNo

Attendee #3 Information (Optional)

First & Last Name

Title

Email

Phone Number

Mail Address (leave blank if same as above)

Meals
Please select any additional meals needed.
No MealsAll Meals ($200)Friday Breakfast ($35)Friday Lunch ($35)Saturday Breakfast ($35)Saturday Lunch ($40)Saturday Dinner ($50)

Attending Saturday Night Dinner?

YesNo

Attendee #4 Information (Optional)

First & Last Name

Title

Email

Phone Number

Mail Address (leave blank if same as above)

Meals
Please select any additional meals needed.
No MealsAll Meals ($200)Friday Breakfast ($35)Friday Lunch ($35)Saturday Breakfast ($35)Saturday Lunch ($40)Saturday Dinner ($50)

Attending Saturday Night Dinner?

YesNo

Sponsorship, Dues & Payment

Sponsorship Level (required)
Sponsored funds are applied to Speakers, Entertainment, Meals, Breaks, and Golf. Additionally, you may choose to sponsor a specific function entirely by indicating it in the "Additional Comments" field below, or by contacting Celeste Erickson at (360) 923-4422.
Platinum ($750)Gold ($400)Associate ($200)

Annual Dues (required)
Have you already paid your annual dues this year, or would you like it combined with the conference fee?
I have already paid my annual duesI will pay my annual dues with my conference fee - please bill me

Donations
We accept separate donations for the Conference Scholarship Fund. We will provide recognition for all donations in our Conference Notebooks, Directories and on a Posted Event Board at the conference. If providing a donation, please enter the value in the field below. Please indicate whether this donation should be applied to the scholarship fund, the general fund or another activity in the "Additional Comments" field at the end of this form.

Conference Payment Preference (required)
Please mail/e-mail an invoice, I will pay by mailing a checkPlease email me a Paypal invoice, and I will pay online

Additional Comments

 

Your request will be processed as soon as possible. For more registration information, contact
Celeste Erickson celeste.erickson@nwcuca.org

Please include payment for membership, donations, and extra meals with your registration fee. If you have any special dietary needs, please let us know as soon as possible. Every effort will be made to accommodate your request.

We have the right to refuse service to anyone.