Member Login:

Pre-Conference Summit Registration

10th Annual Pre-Conference Summit

Before you register for the Pre-Conference, review the important conference documents and read our cancellation policy.

Not sure of your membership level?  View your Member Profile here!

 

We gratefully acknowledge:


Step 1 of 2: Business Information

 

Business Information

Membership Level
[[ The Lookup input is configured from the Data Editor block ]]
Business Name
 *Required
Business Address
 *Required
Building/Room/Suite or PO Box
Business City
 *Required
Business State
 *Required
Business Zip Code
 *Required
Number of Employees
 *Required
Business Type
[[ The Lookup input is configured from the Data Editor block ]]
 

 

Billing Contact Information

First Name
 *Required
Last Name
 *Required
Title
 *Required
Phone
 *Required
Email
 *Required
 

Additional Primary Contact

If you would like another person to receive the invoice and confirmation emails at the end of this process, enter their email address here.

Primary Contact Email

 

 

 
How did you hear about this event?
[[ The Lookup input is configured from the Data Editor block ]]
If Other:

10th Annual Pre-Conference Summit


Step 2 of 2: Attendee Information

Note: If your Billing Contact is also attending the conference, you must also enter that person's information into this section.

First Name
 *Required
Last Name
 *Required
Title
 *Required
Phone
 *Required
Email
 *Required
Please list any dietary allergies and/or special accommodations required.

 

Review Your Information

Please verify the information below and select Pay With Credit Card or Pay by Invoice to complete your registration. Please contact our Program Manager, Angeline Day, at 262.696.3657 if you have additional questions.

Processing your registration...

 
 

 

N19W24400 Riverwood Drive Suite 260 Waukesha, WI 53188-1185

Call us: 262.696.3656
Email us: wcwi@wellnesscouncilwi.org.

Join Today

top