Electronic Registration Form

WISCONSIN ASSOCIATION OF PUBLIC PURCHASERS

ON-LINE REGISTRATION FORM

Training/Meeting - May 13-14, 2010

Holiday Inn
150 S. Nicolet Rd.
Appleton, WI 54914

This electronic form may used to register online for the Training & Business meeting and should be completed and submitted no later than Monday, April 28, 2010. (If you prefer to mail or fax your registration, click HERE for printer friendly Agenda and Registration forms and follow the instructions on those documents). Mailed payment, in connection with this online form, should be received by the addressee shown below, no later than April 28, 2010.

Conference Registration Fees: include refreshments during the conference and lunch on the days you attend. There will be no refunds of registration fees except under very extenuating circumstances, at the discretion of the WAPP Executive Committee.

Determine Fee As Appropriate	WAPP Member	Non-Member	Retiree
Both Days	$50	$65	$20
Thursday	$30	$35	$10
Friday Only	$30	$35	$10

Note 1: WAPP membership must be effective no later than April 28, 2010, in order to obtain member rates. For membership information click HERE.

Note 2: A "Non-Member, First Timer" pays no registration fee, if he or she is a public employee or official, who's responsibilities include or are related to public procurement and he or she has never attended a WAPP meeting and is a potential member of WAPP. However, a "Non-Member, First Timer" must pay $30 for the Thursday evening networking dinner if attending.

Thursday Evening Networking Dinner: This highly recommended group dinner will be at the Pullman's Restaurant at Trolley Square. If you plan to attend, please complete the section below to select your menu choices and be sure to add $30 to your registration fee. The $30 includes taxes and tip. If you have a non-member guest or guests who do not register but will attend this meal, please be sure to include an additional $30 for each of them. You will need to contact Natalie Dixon with meal choices for each non-registered dinner guest.

Hotel Information: A block of rooms has been set aside at the Holiday Inn, Appleton, for the nights of May 12 (Wednesday), May 13 (Thursday), and May 14 (Friday), 2010. You must make your reservation by May 1, 2010 to take advantage of the discounted State rates. After that date, the remaining rooms will be released to the Hotel. The special room rate is $70/night single. Taxes will not be charged with proof of exemption. Remember to reserve your room by May 1, 2010, to take advantage of the special rate. Please make your reservation with the Holiday Inn by calling (920) 735-0309) or (800) 465-4329 or by visiting their online registration page at: Holiday Inn Appleton Registration. Please make reference to the Wisconsin Association of Public Purchasers (WAPP) when you make the reservation. For driving directions, click on the hotel link above and look for a link to directions on their website.

Payments: If paying by check, make your check(s) payable to WAPP. Put your name on the check and mail to:

Natalie L. Dixon, Registration
Wisconsin Association of Public Purchasers
P.O. Box 2003
Madison, WI 53701-2003

Please be aware that those attending this WAPP chapter conference, seminars or meetings, may earn contact hours towards NIGP certification. Contact hours will be prorated for members who attend only a portion of the meeting. If you are interested, you may obtain an achievement award certificate at the end of the business meeting or the Seminar, to confirm your attendance and the number of hours earned towards a CPPB or CPPO.

Registration Questions? Please direct them to Natalie Dixon at ndixon@cityofmadison.com or by telephone at (608) 267-8768.

ON-LINE REGISTRATION FORM - May 13-14, 2010

Note: Do not press the "Enter" key to move from field to field as that will submit the form before you are finished with it. Use the "Tab" key or mouse to move from field to field.

Name:
Agency:
Address:
City/State/Zip:
Phone:
Fax:
Email:
Comment:

Indicate Membership Status:

Attendance: I will attend . . .

Thursday Evening Networking Dinner:

If you are attending the Networking Dinner, Please make selections from the following menus.

Main Course:

Dessert:

Beverage:

Select Payment Type:

Important Note 1: If you selected Credit Card for your payment type, please indicate in the box below, the name of the credit card holder if different than your name. We need to be able to reconcile the registration data from this form to the credit card payment data from PayPal.

Indicate Name of Credit Card Holder:

Important Note 2: Now submit this form buy clicking on the button below. After you receive the acknowledgement screen and if you are paying by credit card, return to the WAPP Meetings page and click on the "Pay by Credit Card" link.

Note: You should receive an email acknowledgement of your on-line registration from the host within a day or two after you submit it. It is important that you include your email address in the registration information above. If you do not receive the acknowledgement, please contact Natalie Dixon at ndixon@cityofmadison.com.