Copyright © 2017 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 10th, 2018. ********* 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.  All other state society members are required to send proof of current membership with their registration. 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 Friday from 4:30-7:30pm, and Saturday from 10:15-2:15pm 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 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 the confusion by selecting your seminars carefully the first time!  A late fee of $40.00 will be assessed for registrations postmarked after February 5, 2017 and for all on site registrations. All registration is by mail and fees must be included. Register early and avoid all the hassles.  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
ADDRESS (for Certificate):
CITY: STATE: ZIP CODE:
PHONE: EXT: *required
E-MAIL: *required
SOCIAL SECURITY #
000-00-
IHS requires the last four digits of your social security number.
_____________________________________
EDUCATIONAL SEMINAR SELECTION:

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

THURSDAY – March 9, 2017
6:00-8:00pm (SESSION A:) YES NO

FRIDAY – March 10, 2017
9:00-11:00am (SESSION B:) YES NO

FRIDAY – March 10, 2017
2:30-4:30pm (SESSION C:) YES NO

SATURDAY – March 11, 2017
8:00-10:00am (SESSION D:) YES NO

SATURDAY – March 11, 2017
10:15-12:15pm (SESSION E:) YES NO

SATURDAY – March 11, 2017
1:45-3:45pm (SESSION F:) YES NO

SATURDAY – March 11, 2017
4:00-6:00pm (SESSION G:) YES NO
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FULL CONVENTION PACKET INCLUDES:

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

# 2016 State Society Member(s) @$325.00 = .................. total: $
# Standard Registration(s) @$395.00 = ........................... total: $
# Student Registration(s)(no CEU's) @$75.00 = .................... total: $
_____________________________________
INDIVIDUAL SEMINAR PRICES:

Please select your seminars from the list above and cxaculate the fees:
I will be attending classes @ $55.00 each = .................... total: $
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EXTRA MEAL TICKETS:

Spouse/Guest Meal Package Qty:
I will need meal packages @ $60.00 each = .................... total: $

*Individual meal tickets: Indicate the meals you wish to attend and calculate fees.
Incluce fees with this registration.

Friday Luncheon: tickets @ $35.00 each = ..................... total: $
Friday Exhibit Hall Drinks: tickets @ $5.00 each = .......... total: $
Saturday Box Lunch: tickets @ $30.00 each = ................ total: $
_____________________________________
TOTAL YOUR FEES:
Registration Fees (package or individual class total) ......................... total: $
Group Rate FULL registrations packages only
(5-10 attendees less 15%) ............................................ total: $
Group Rate FULL registrations packages only
(more than 10 attendees less 15%) ................................... total $
Extra Meal Tickets ............................................................... total: $
Late Fee(Add $40 if this registration is submitted after Jan. 30th 2012) .... total: $
TOTAL AMOUNT ........................................................... total: $

PLEASE MAKE A NOTE OF YOUR TOTAL FOR PAYMENT ON FOLLOWING PAGE

Require Special Meals (Vegitarian, Gluten Free, Other): Qty:

MESSAGE
(Questions, comments, inquiries, etc.)


REGISTRATION POLICIES
1. Send Hotel Registration by February 10th, 2017   2. Fill out registration form, select educational seminars, mail, & include fees. 3. Add $40 if registration is mailed after February 05, 2017
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