Southern Highlands Employer Committee
If you regularly attend your
area Employer Committee
Meeting, please enter the
COMMITTEE name here.
Special Requests:  
Wheelchair, vision impaired,
etc.
Registrant's Name
Remittor's Name
Company Name       
Company Street Address
City, State, And Zip
Contact Telephone
Contact Email
Dietary Restrictions
Additional Attendees:
Registrant's Name
Contact Email  
Dietary Restrictions
Registrant's Name
Contact Email  
Dietary Restrictions
Registrant's Name
Contact Email  
Dietary Restrictions
Registrant's Name
Contact Email  
Dietary Restrictions
Registrant's Name
Contact Email  
Dietary Restrictions
PLEASE CHOOSE FROM THE FOLLOWING
TWO OPTIONS FOR YOUR REMITTANCE
Invoicing Option:  We understand that occasionally you will be unable to
pay electronically.  If you need us to send you an invoice for payment,
please mark the "Please Bill Me" selection, click the "SUBMIT" button
below, and ignore the payment page.  

Invoices will be termed "Due Upon Receipt".  Invoices that remain
unpaid by the Friday before the event will be cancelled, and the on-site
registration rate will apply.
EARLY BIRD REGISTRATION $ 40.00 IS NOW OPEN