Online registration

 

2018 ICMA Conference (40th) Registration Form

May 13 – 17, 2018

Deerfield Beach, Florida

Fields marked with * are required

First Name * Middle Name Last Name *

Email * Phone *

City * State/Prov.* Zip/Postal Code*

Country *

Company or Institute Affiliation

Emergency Contact Name
Emergency Contact Phone

Will you have a spouse/guest accompanying you to Deerfield Beach, Florida?  Yes No

If yes, Spouse/Guest name you would like to be displayed on the name tag
Spouse/Guest’s Full Name:   

Will you and your spouse/guest request a room reservation within the ICMA hotel block during the conference?  Yes No

If no, which hotel will you be staying at?           

Are you and your spouse/guest interested in a tour of selected sites sponsored by ICMA and MAPEI?
 Yes No

Total number of people from your party interested in attending a tour:

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