Regional Meeting Registration Form


2017 VMA-MCASC-NCMA Regional Meeting

September 16-20 in Roanoke, Virginia

Select Membership Type: *
Are you a member of VMA? *
Are you a member of MCASC? *
Are you a member of NCMA? *
Company Name: *
Address: *
City: *
State: (VA, SC) *
Zip: *
Phone: (555-555-5555) *
Fax:
Email: *

Operator Market Place Information

Note: Please refer to the association website for a complete list of associate members to choose from for appointment preferences.

Operators Only: Will you be seated at a table in Market Place?
List your 1st preference for a scheduled appointment with an associate.
List your 2nd preference for a scheduled appointment with an associate.
List your 3rd preference for a scheduled appointment with an associate.

Associate Market Place Information

Note: Please refer to the association website for a complete list of operator members to choose from for appointment preferences.

Associates Only: Are you interested in purchasing a Display Booth?
List your 1st preference for a scheduled appointment with an operator.
List your 2nd preference for a scheduled appointment with an operator.
List your 3rd preference for a scheduled appointment with an operator.
If you would like to partner with another associate for your scheduled appointments, list their name and company.

Attendee Information

First Name: (As it should appear on badge) *
Last Name: (As it should appear on badge) *
Dietary Needs: *
If "other" please specify:
Please select a tour or golf option: (Tour 1, 2 and 3 are full.) *
Are you a first time attendee? *

Event Sign-Up

If you sign up, you are expected to participate. It is only courteous to those who plan for you.

Saturday Operator Education Sessions (1:30-5:30) *
Saturday Welcome Dinner (7:00) *
Sunday Devotional (8:00-9:00) *
Sunday Networking Breakfast (9:00-9:30) *
Sunday Lunch (12:15-12:45) *
Sunday Operator Education Sessions (1:00-4:30) *
Sunday Rising Star/New Member and First Timer Orientation (2:15-3:00) *
Sunday Associate Session: Group Tour and Travel Jeopardy (3:15-4:45) *
Sunday Meet the Operators Round Table Discussion (5:00-6:30) *
Sunday Early Bird Dinner at Virginia Museum of Transportation (7:30) *
Monday Breakfast (8:00-9:00) *
Monday Ice Breaker Dinner Event (7:30) *
Tuesday Breakfast (7:30-8:30) *
Tuesday Networking Lunch (12:30-2:00) *
Tuesday Reception (6:30) *
Tuesday Awards Dinner (7:00) *

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