2021 LOUPE/SWACUMS/TACUP Conference

Attendee Registration - November 8 -11, 2021

Attendee Profile

Attendee Address*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Attendee Phone
Contact phone you would like published in directory.xxx-xxx-xxxx
Attendee Email*
Marriott Confirmation Number
Special Discount for booking room by 7/31/2021
Rate*
Early Bird with Room Confirmation $100Attendee (By 9/15/21) $300Attendee (After 9/15/21) $350Guest (TBD)Guest (After 7/31/21 TBD)Payment Due by 9/15/21
* If you are interested in presenting, please contact Lori Proctor by email lkp001@shsu.edu ASAP.
An invoice will be sent soon after you submit registration, please pay as soon as possible. Understanding that some schools can't pay for November events until September, we ask all payments be made by September 30, 2021.
Name
If Applicable, Guest Name