Page 9 - CONF19 Vol 37 No 4

2019 TCAPWA /SWANA Conference

NOVEMBER 5 -7 in CHATTANOOGA

CHATTANOOGA MARRIOTT DOWNTOWN

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 _______ @ $325 = $_________

Includes: Wednesday Rodeo Lunch and Rodeo Awards/Branch Reception, Non-Member _______ @ $350 = $_________
and Thursday Breakfast, Lunch and Technical Sessions

LATE/ON-SITE Full Registration (if received after October 4) Member _______ @ $350 = $_________

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

ONE-DAY Registration Member _______ @ $225 = $_________

Includes: Thursday Breakfast, Lunch and Technical Sessions Non-Member _______ @ $250 = $_________

SPOUSE/GUEST Registration _______ @ $125 = $_________

Includes: Wednesday Rodeo Lunch and Rodeo Awards/Branch Reception,
and Thursday Breakfast, Lunch and Technical Sessions

WEDNESDAY NIGHT YOUNG PROFESSIONALS EVENT (Naked River Brewing Company)

There is NO CHARGE for this event. Event is for those age 21 and over. Indicate number attending: _________

T-shirt sizes requested: ___ small ___ medium ___ large ___ XL ___ XXL ___ XXXL

THURSDAY NIGHT EVENT at the TENNESSEE AQUARIUM

There is NO CHARGE for this event, but a RESERVATION IS REQUIRED. Indicate number attending: _________

RODEO REGISTRATION (Wednesday, Nov. 6, at First Tennessee Pavilion)

RODEO - Individual Entry _______ @ $30 = $_________
_______ @ $300 = $_________
Includes: Weds. Rodeo Lunch and Rodeo Awards/Branch Reception (at the Marriott)

RODEO - Team Entry (10 or more participants)

Includes: Weds. Rodeo Lunch and Rodeo Awards/Branch Reception for each entrant (at the Marriott)
Attach a list of names or email to markmiller@charter.net

GOLF REGISTRATION (Brown Acres, Tuesday, Nov. 5) _______ @ $50 = $_________

GOLF Individual Entry, 11 a.m. Lunch; Noon Shotgun Start (Includes Lunch & Be verage)

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

Event Hotel: Chattanooga Marriott Downtown, Two Carter Plaza, Chattanooga, TN 37402, 423-756-0002. Conference rate ($139) is available until October 13, 2019.
Group Code: TCA TN American Public. For additional information contact Mark Miller at (865) 850-1534 or email markmiller@charter.net. Write 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.

View online at tnpublicworks.com 9