Online registration

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 the ICMA Conference?  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?
 Yes No

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

Enter code in box below: