2024 District IV Conference Registration

Saturday, October 5, 2024 in Centralia

In-person format only.

"*" indicates required fields

Name*

First Last

Designation (NCTM or WSCTM )

Chapter

District*

Please indicate which WSMTA district you are in. If you are unsure, just indicate district 4.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

REGISTRATION*

After September 28, registration fees increase by $5 for all levels of registration and are only available at the door of the event.

WSMTA/MTNA Members $35

Non-members $50

Student $25

Allergies*

Please let us know if you have any allergies and we will do our best to accommodate your needs.

Total

Credit Card

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.