Register or Sponsor Now

2019 INCMA Legislative Conference
Registration Form
$125 per attendee
$500 per sponsorship
(Limited to 5 associate sponsors)

* Indicates required field

Attendee 1 *

First

Last

Company *

Phone *

Email *

Attendee 2 *

Attendee 2 Company *

Attendee 3 *

Attendee 3 Company *

Attendee 4 *

Attendee 4 Company *

Would you like for INCMA to set up a lunch meeting with your legislator(s)? *

Yes No

Preferred Legislator? (If no name or names, please list your 9 digit zip code) *

Would you like to Sponsor this event? $500 *

Yes No

Please note that sponsorship includes:
- Free Newsletter sponsorship page and website posting
(value = $175);
- Recognition on all solicitations;
- Recognition in INCMA’s monthly newsletters;
- Two tickets to the event (value = $250);
- Exhibit space for the event limited to co-sponsors
(value = $500); &
- Printed recognition on all event materials.

Please send an invoice. *

Yes No

Checks may be mailed to:
INCMA
PO Box 441743
Indianapolis, IN 46244

2019 INCMA Legislative Conference​Registration Form$125 per attendee$500 per sponsorship(Limited to 5 associate sponsors)

2019 INCMA Legislative Conference
Registration Form
$125 per attendee
$500 per sponsorship
(Limited to 5 associate sponsors)