Copyright © 2019 Tri-State Hearing Convention - All rights reserved
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CLICK HERE TO DOWNLOAD THE CONVENTION INFORMATIONAL LITERATURE AND REGISTRATION FORMS (Right click "save target as" or "save link as" to save document to your computer) Download and fill out registration forms above, select seminars, mail, & include fees. No phone registrations. Add $40 if registration is mailed after February 7th, 2019. ********* REGISTER EARLY TO AVOID ANY HASSLES *********
Your enjoyment of the convention will be enhanced by clearly understanding our policies, and avoiding any misunderstandings.  We do not allow any guest admissions to our classes.  We offer a discount to all State Society members. Make sure you have your membership dues paid to your state treasurer prior to registering as a member. We will check current ID, OR & WA membership lists prior to the convention. Your hours for continuing education will be withheld until correct fees are paid. No refunds will be offered by Tri-State for changes in your membership status after your registration is submitted.  The Exhibit Hall is open to guests at no charge on Saturday from 2:00 – 6:00pm, however, a guest badge, available at the registration desk, is required for entry. Food and beverage is not included with a guest pass. Food & beverage tickets are included in each convention package. Guests and one-day participants need to check the registration form for meal package prices. Please pre-register to allow for proper planning.  A fee of $5.00 per seminar change will be charged at the convention. Please help us minimize confusion by selecting your seminars carefully the first time.  A late fee of $40.00 will be assessed for registrations postmarked after February 11, 2019 and for all on-site registrations. Mail registration with a check or register online using your credit card. Please register early to avoid extra fees and help us with our pre-planning.  Tri-State will not issue refunds for registration fees unless notification is 14 days prior to the start of the convention. 1.  2.    3.    4.   5.   6.
ONLINE REGISTRATION FORM

NAME: *required
COMPANY NAME: *required
PHONE: EXT: *required
E-MAIL: *required
MAILING ADDRESS
(for Certificate):
CITY: STATE: ZIP CODE:

SOCIAL SECURITY #
000-00-
IHS requires the last four digits of your social security number.

GUEST NAMES:


List any special meal requirements, or dietary restrictions, for all attendees:

_____________________________________

FULL CONVENTION PACKET INCLUDES:

Educational seminars, Thursday Welcome Party, coffee breaks, 1-Friday luncheon ticket,
Exhibit Hall Admission, 1-Saturday Lunch ticket and 3-Drink tickets


CHOOSE ONE:
# 2019 State Society Member(s) @$325.00 = ................. total: $
# Standard Registration(s) @$395.00 = .......................... total: $
# Student Registration(s)(no CEU's) @$100.00 = ........... total: $
_____________________________________

INDIVIDUAL SEMINAR PRICES:

For individual seminars, please select your seminars from the
"EDUCATIONAL SEMINAR SELECTION" list below, and calculate the fees:

I will be attending classes @ $55.00 each = .................... total: $

DISCOUNT - GROUP RATE
5 attendees: Less 15% Only on FULL registration packages.... total $
_____________________________________

ADDITIONAL MEAL TICKETS:

Indicate meals your guests will attend, number of tickets & calculate the fees.
Include fees with this registration:

Guest meal Packages: tickets @ $75.00 each = ............... total: $
Friday Lunch: tickets @ $40.00 each = ............................. total: $
Saturday Lunch: tickets @ $40.00 each = ....................... total: $
Saturday Refreshments: tickets @ $8.00 each = .............. total: $
_____________________________________

TOTAL YOUR FEES:

Registration Fees (package or individual class total) ......................... total: $
Extra Meal Tickets ....................................................................... total: $
Late Fee (Add $40 if this registration is submitted after Feb 11th 2019) ... total: $
TOTAL AMOUNT .......................................................................... total: $

PLEASE MAKE A NOTE OF YOUR TOTAL FOR PAYMENT ON NEXT PAGE
_____________________________________

EDUCATIONAL SEMINAR SELECTION:

Only select if you are registering for individual classes.
Full registrations are automatically registered into each class.

THURSDAY – March 7, 2019
6:00-8:00pm (SESSION A:) YES NO

FRIDAY – March 8, 2019
8:30-10:30am (SESSION B:) YES NO

FRIDAY – March 8, 2019
1:45-3:45pm (SESSION C:) YES NO

FRIDAY – March 8, 2019
4:00-6:00pm (SESSION D:) YES NO

SATURDAY – March 9, 2019
8:30-10:30am (SESSION E:) YES NO

SATURDAY – March 9, 2019
10:45-12:45pm (SESSION F:) YES NO

SATURDAY – March 9, 2019
2:00-4:00pm (SESSION G:) YES NO

*THERE WILL BE A $5 CHARGE AT THE CONVENTION PER SEMINAR CHANGE!

MESSAGE
(Questions, comments, inquiries, etc.)


REGISTRATION POLICIES
1. Make hotel reservations by February 7, 2019. To insure best room and price selection, reserve your room as early as possible. 2. Fill out registration form, select educational seminars, mail, & include fees or register on line at tristatehearingconvention.org 3. Add $40 if you register on line after, or mail after, February 11, 2019
REGISTRATION
FOR GENERAL REGISTRATION ONLY. EXHIBITORS, PLEASE SEE “EXHIBITORS” PAGE.
DIRECTIONS:
HOME | REGISTRATION | ABOUT | CONTACT | EXHIBITORS | LINKS | PRIVACY POLICY
March 7th, 2019 - March 9th, 2019 SHERATON AIRPORT HOTEL, PORTLAND, OR