Associate Members Annual Meeting Registration – Additional GENERAL INFORMATION (Please initial to acknowledge you have read the below statement)YOU MUST BE AN OACUBO MEMBER TO ATTEND! Each individual registrant must complete a separate registration. There are no group registrations and/or payment options this year. President Level Sponsors receive (3) complimentary registrations and (1) exhibit table. Director Level Sponsors receive (2) complimentary registrations and (1) exhibit table. You must reserve your display space with one of your organization's registrations. Partner Level Sponsors receive (1) complimentary registration. Associate Members receive (1) complimentary registration. Complimentary registrations and display space registrations are due no later than February 28, 2019. Each organization may register additional registrants at the regular registration rate (above and beyond the complimentary registrations).REGISTRATION FEES (Please initial to acknowledge you have read the below statement)The Early Bird registration ends March 27, 2019. From March 28, 2019 through April 10, 2019, the fee is $175 per person. From April 11, 2019 through April 26, 2019, the Walk-In registration fee is $200 per person. In order to secure a seat at this event, you are encouraged to register by the early bird registration deadline of March 27, 2019.CANCELLATION POLICY (Please initial to acknowledge you have read the below statement)Cancellations must be received in writing no later than March 27, 2019 via email to Renae Davies, Executive Director at firstname.lastname@example.org. No refunds will be granted after this date however we will allow registrants to send someone in their place for no additional cost. Also, registrations submitted after March 27, 2019 are responsible for payment in full upon registering.PHOTOS TAKEN DURING EVENT (Please initial to acknowledge you have read the below statement)By taking part in this event you grant OACUBO full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for marketing purposes. This might include (but is not limited to), the right to use them in OACUBO printed materials, website, online publications, social media accounts and/or press releases. If you do not wish to be photographed during the event, please inform an OACUBO staff member or OACUBO board member during the event.Name* First Middle Initial Last Suffix Informal NamePlease list the name you want listed on your name badge, if different than your name aboveTitle*Organization Name*Please let your organization's name here as you would like it to be displayed on your name badgeAddress* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* Dietary Needs and/or AllergiesRegistration Fees:*$150 Early Bird Registration (1/1/19-3/27/19)Please select ALL portions you will be attending:* Wednesday Evening Welcome Reception (Location TBD) Thursday Continental Breakfast (MVNU) Thursday Buffet Lunch with Exhibitors (MVNU) Thursday Evening Happy Hour and Dinner (The Alcove Restaurant) Friday Continental Breakfast (MVNU) Friday Buffet Lunch/Business Meeting (MVNU) Wednesday and Thursday Evening Events (RSVP is required to attend)Will you be paying by Check or Credit Card?*CheckCredit CardCredit Card/Paypal Click here if you will pay by credit card or with a paypal account - you will be redirected to Paypal's secure site to process your payment via either these methods. Please be sure to verify your credit card billing address on the paypal site. (The information entered on this form will populate on the paypal site, but you may make adjustments on the paypal site if needed) Check Payment Check here if you will submit payment by check. Please print the confirmation email as your invoice. Please mail your check, made payable to OACUBO, to 3755 Attucks Drive, Powell OH 43065.