Associate Convention Registration

65th Annual Mississippi Cable Telecommunications Association Convention Registration Form

May 6-8, 2019
Golden Nugget Casino & Resort

Attendee Name

Invalid Input

Title

Invalid Input

Company Name

Invalid Input

Company Address

Invalid Input

City

Invalid Input

State

Invalid Input

Zip Code

Invalid Input

Telephone

Invalid Input

Email

Invalid Input

Associate Registration (*)
Associate - First Registration + Associate Dues Renewal ($650 + $12) - 662.00 USD
Associate - First Registration Associate Dues Renewal is "In The Mail" ($350 + $12) - 362.00 USD
Associate - Additional Registration ($250 + 12) - 262.00 USD
Associate - Non-Member Registration ($575 + 12) - 587.00 USD
Non-Member - Additional Registration ($375 + 12) - 387.00 USD
Spouse/Guest Registration (100) - 100.00 USD
WICT Luncheon - Registered Attendees Only ($35) - 35.00 USD

Invalid Input

MCTA Golf Outing Registration (*)
Registration - 100.00 USD
Breakfast Sponsor, Includes 1 Registration - 1,000.00 USD
Hospitality Sponsor, Includes 1 Registration - 1,000.00 USD
I do not wish to participate in golf tournament - 0.00 USD

Invalid Input Sponsors will receive promotion on all printed material related to the golf outing including MCTA website, signage, promotional emails and will be announced during the golf outing.

Name as you wish it to appear on name badge

Invalid Input

Guest Name if applicable

Invalid Input

Total
0.00 USD

Please enter the letters as shown (*)

Can't read the letters? Click here.
Invalid Input

Submit

Nav view search

Navigation

Search

This Site

Login Form

65th Annual Mississippi Cable Telecommunications Association Convention Registration Form