Page 7 - Conf2021 Vol39 No4

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 = $ ________
Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception,
and Wednesday Breakfast, Lunch and Technical Sessions

TUESDAY NIGHT YP BOWLING EVENT at Memphis Pyramid # _________
THERE IS NO CHARGE BUT A RESERVATION IS REQUIRED.

WEDNESDAY NIGHT EVENT at Teton Trek at the Memphis Zoo ______ @ $25 = $ ________
RESERVATION IS REQUIRED. Indicate number attending. Transportation is provided.

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

RODEO - Individual Entry ______ @ $40 = $ ________
Includes: Tuesday Rodeo Lunch and Rodeo Awards/Branch Reception (at the Convention Center)
RODEO - Group Entry (10 or more participants) ______ @ $400 = $ ________
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)
______ @ $50 = $ ________
GOLF Individual Entry, 11 a.m. Shotgun Start (Includes Lunch, Beverages & Prizes)

TCAPWA & SWANA THANK YOU! TOTAL AMOUNT ENCLOSED $ ________________________

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.
View online at tnpublicworks.com 7