WNI Website and Conference Registration

Conference Registration

Please submit the form below to sign up for the upcoming conference.

Event Date and Time

April 28, 2023

8:30 am – 9:00 am

Breakfast and Registration

9:00 am – 3:30 pm

Program

3:30 pm – 5:00 pm

Optional Networking

Venue

NCAA Hall of Champions, Christine Grant Ballroom

White River State Park, 700 W, Washington St, Indianapolis, IN 46204

First Name*
Last Name*
Preferred Pronouns*
Please Select Organization Affiliation*
Please specify*
Title/Role*
Email*
Phone*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Do you have any dietary restrictions?*
- No
- Yes
Lunch Preference:
Do you require any ADA accommodations?*
- No
- Yes
How did you hear about this event?*
- Search Engine (Google, Bing, etc.)
- Recommended by a friend or colleague
- Social Media
- Blog or Publication
- Internal circular or flyer on campus
- Other
Please specify*
Product Name*
Price:
Includes a light breakfast, lunch and snacks.
Enter Coupon Code
Total
$0.00

Credit Card*

Cardholder Name

Card Details

Comments
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