2023 IUE-CWA Division Conference Registration Form

Complete this form and submit separately for each attendee at the conference.

Local Number

Name

Phone Number

In what capacity will you be attending?

Date of Secret Ballot Election for Conference Delegate If you are an automatic delegate as Local president, put the date here for your secret ballot election

Date of Secret Ballot Election for Conference Alternate

Are you attending the CWA Convention July 10-12?
(please note you must register separately)

Yes

Are you attending the IUE-CWA Reception on Sunday evening, July 9th

Yes

Total reception guests over the age of three The price of the reception is $20 per person over the age of 3.

Total reception guests under the age of three

Name of guest #1

Name of guest #2

Name of guest #3

Name of guest #4

Name of guest #5

Comments/Questions

Total: $0

Payment must be mailed to IUE HQ prior to event.

IUE-CWA HQ
Attn: Reception
2701 Dryden Rd.
Dayton, OH 45439

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Registration

2023 IUE-CWA Division Conference Registration Form

Complete this form and submit separately for each attendee at the conference.

Total: $0

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