Individual Registration

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AFTER MAY 10: Complete and bring this form with your
receipt to on-site check-in to expedite registration!
* = required field
Business/Facility Name:
Billing First Name:*
Billing Last Name:*
Primary Contact (if other than above)
Primary Telephone:* Alternate:  Fax:
Email Address:*
USIndoor Member:*
Total Registrations:*
Become a USIndoor Member.
2013 Registration Rates
USIndoor Member
Until March 15
1st or 2nd Attendee
3rd Attendee or more
Until May 10
1st or 2nd Attendee
3rd Attendee or more
After May 10 (on-site)
1st or 2nd Attendee
3rd Attendee or more
Attendee Name/Title
E-Mail Address
Owner/Sr. Executive
IMPORTANT: Identify any existing CAO with "*" to ensure CEU credit.
For more than 5 registrations: Email admin@usindoor.com with attendee information.
Additional Programing Rates
Conference registration is not a prerequisite for additional programs.
Specialty Workshops (one per person):
Leadership or Sponsorship
Tuesday, May 14, All Day
Until March 15
Until May 10
After May 10 (on-site)

Attendee Name(s) (and e-mail addresses, if not above):

Facility Bus Tour
(note conflict with 5/14 Workshops)
Tuesday, 5/14, All Day
Attendee Name(s):       
Post-Conference Celebration at "The Pond" at Green Valley Ranch
Thursday, May 16
Full-Price Admissions (1st or 2nd Attendee, above)
Discounted Admissions (3rd + from above) & Guests
$    ($50 on-site)
Attendee Name(s):       
Please check if you do not wish for your company or name to appear in the Official Conference Program.
Total Registration: $
Billing Information:
City:*    State/Province:*
Postal Code:*                Country: 

NOTE: To complete your online registration, click "Submit" and follow the instructions to pay by credit card. To register by mail, click "Print," and mail your completed form, along with a check made payable to "USINDOOR" in the amount above, to the following address: 1340 N. Great Neck Road, Suite 1272-142. For on-site registration, click "Print" and present your completed form, along with payment, upon check-in. NO REFUNDS AFTER APRIL 1. In case of questions call USIndoor at 703-820-2810. Thank you.


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United States Indoor Sports Association,
1340 N. Great Neck Road, Suite 1272-142 | Virginia Beach, VA 23454-2268
Fax: (509) 357-7096 | Email: pr@usindoor.com
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