125th Annual IOMSA Convention Registration Form

June 23-25 · Four Seasons · St. Louis, MO

Company Information
Registration Information
  Member, $350  
  Member (w/spouse), $450  
  Non-Member, $550  
  Non-member (w/spouse), $650  
  Emeritus Member, FREE  
  Emeritus Member (w/spouse), FREE  
  $75 per person
  $150 per person
  FREE
$1650
Registrant Information
Registrant:
Spouse:
Activities
Sunday
Monday
Tuesday
Sponsorships
I would like to sponsor (check all the apply)
 President's reception
 Monday luncheon
 Monday dinner
 Golf
 Coffee breaks
 Tuesday banquet
 Tuesday night kids program
 Bowling
 As needed

Major Credit Cards Acepted

CANCELLATION POLICY:
NO REFUNDS after May 22!
Any questions, please call Linda Paukert, IOMA Secretary/Treasurer, at 817-297-4668.
A receipt from Country Journal Publishing Co. will be emailed to you.