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2021 TCAPWA & SWANA Annual Conference

              NOVEMBER 1-3, 2021 – MEMPHIS

  SHERATON DOWNTOWN HOTEL AND RENASANT CONVENTION CENTER

ATTENDEE 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 4)   Member	              _______ @ 	 $350	 = $_________

     Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception,  Non-Member	 _______ @ 	 $375	 = $_________
     and Wednesday Breakfast, Lunch and Technical Sessions

LATE/ON-SITE Full Registration (if received after October 4)           Member	              _______ @ 	 $400	 = $_________

     Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception,  Non-Member	 _______ @ 	 $425	 = $_________
     and Wednesday Breakfast, Lunch and Technical Sessions

ONE-DAY Registration                                                   Member	              _______ @ 	 $250	 = $_________

     Includes: Wednesday Breakfast, Lunch and Technical Sessions       Non-Member	 _______ @ 	 $275	 = $_________

SPOUSE/GUEST Registration                                              		                   _______ @ 	 $125	 = $_________
                                                                                            _______ @ 	 $25	 = $_________
     Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception,  		
     and Wednesday Breakfast, Lunch and Technical Sessions                 	                _______ @ 	 $40	 = $_________
                                                                                            _______ @ 	 $400	 = $_________
WEDNESDAY NIGHT EVENT at Teton Trek at the Memphis Zoo
                                                                                            _______ @ 	 $50	 = $_________
     RESERVATION IS REQUIRED. Indicate number attending.
     Transportation is provided.

RODEO REGISTRATION (Tuesday, Nov. 2, at Mud Island)

RODEO - Individual Entry                                               		

Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception (at the Convention Center)

RODEO - Team Entry (10 or more participants)                           		

     Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception
     for each entrant (at the Convention Center)
     Attach a list of names or email to markmillertcapwa@gmail.com

GOLF REGISTRATION (The Links at Galloway, Monday, Nov. 1	) 	

GOLF Individual Entry, 11 a.m. Shotgun Start (Includes Lunch, Beverages & Prizes)

TCAPWA & SWANA THANK YOU!		                                       TOTAL AMOUNT E	NC	LOSED $ ________________________

Event Hotel: Sheraton Memphis Downtown Hotel, 250 N Main St., Memphis, TN 38103, (901) 527-7300. Conference rate ($139) is available until October 13, 2021.
Use Code PWA or visit https://book.passkey.com/go/tnapwa to make your reservation. Contact Mark Miller at (865) 850-1534 or email markmillertcapwa@gmail.com

                   for additional information. 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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