126th IOMSA Convention Registration Form

June 21-23 · Marriot Downtown
Des Moines, IA

Company Information
Registration Information
  Member, $390  
  Member (w/spouse), $490  
  Non-Member, $590  
  Non-member (w/spouse), $690  
  Emeritus Member, FREE  
  Emeritus Member (w/spouse), $165  
  $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 Accepted

CANCELLATION POLICY:
NO REFUNDS after May 20!
Any questions, please call Linda Paukert, IOMSA Secretary/Treasurer, at 817-297-4668.
A receipt from Country Journal Publishing Co. will be emailed to you.