UMWA Annual Meeting and Banquet Registration

Thank you for registering for our Annual Meeting and Banquet!

Page 1 of 5 - Registration Page

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Individual or Organization Name *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Registrant Primary Registrant * First Last
Second Registrant Second Registrant First Last
Third Registrant Third Registrant First Last
Fourth Registrant Fourth Registrant First Last
Fifth Registrant Fifth Registrant First Last
Sixth Registrant Sixth Registrant First Last
Seventh Registrant Seventh Registrant First Last
Eighth Registrant Eighth Registrant First Last
Confirmation Email *
Phone Phone * - ### - ### ####
Registration Cost * $ Dollars . Cents
$60/per person. Please enter your total cost and then click Continue.