Greater KC Chapter

EVENT REGISTRATION

Name

Title

E-Mail

Organization/Agency

Address Line 1

Address Line 2

Suite/Room No.

City/State/Zip

Phone

FAX

Current member of IPMA-KC?        Yes    No
Prepaid membership?        Yes    No

Register me for:
Lunch-n-Learn
Member: $20   Non-Member: $25   Prepaid Member: No charge
Breakfast Round Table
Member: No charge
Spring Conference
Member: $50   Non-Member: $65   Prepaid Member: No charge

NOTE: No shows will be billed to cover catering costs.


Total Fee Due:

Request for Accomodation:
Special Diet
    Specify
Other
     Specify

Please make sure you have completed all information before printing your registration.

Mail completed form, along with your check payable to Greater KC Chapter IPMA, to:

Shana Marsh, Sr. Analyst
City of Kansas City MO

414 E. 12th St., 4th Floor
Kansas City, MO 64106

or E-mail to: Shana_Marsh@kcmo.org