2024 SECSA Conference

Registration Options

SECSA Awards Banquet Only ($85.00)
Banquet Guest Attendance ONLY

Program Name Affiliated with

Program Address

Guest Name

Attending with (Conference Attendee name)

Guest Email

Guest Phone Number

Arrival Date

Departure Date

Are you utilizing Hotel Lodging?

Will you be attending the Welcome Reception with a Conference Attendee?

Will you be attending the Awards Banquet?

Special Needs/Requests/Dietary Restrictions

GUEST INFORMATION - Guest is described as a person not directly affiliated with a program but is attending with a program member (spouse, children or others). OR, a person affiliated with a program who is not attending the conference and only chooses to participate in the Awards Dinner.

Convenience Fee

$0.00

Total

$0.00

Terms

Cancellations On/Before March 13, 2024, will receive a refund, minus a $25 Administrative fee.
Cancellations between March 14, 2024 through April 7, 2024, will receive a 50% refund.
Cancellations on April 8, 2024 or after will Not be granted a refund for guest registration.

I have read and agree to the terms above.

Billing Information

Last Name / First Name

Credit Card

Visa
Mastercard
American Express
Discover

Address

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