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2019 Roundtable Registration

2019 Roundtables 


Pricing
Corporate Members: $179.00
Associate Members: $199.00
Non-Members: $229.00

Please read our program cancellation policy.

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

REGISTER

 


Step 1: Choose Your Roundtable

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Step 2:  Business Information

Note: Do not refresh your browser or use the browser's back or forward buttons during this registration process. Your information will be lost.

 

Company Profile

Membership Level
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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
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Billing Contact Information

Note: Your billing contact will receive the invoice and confirmation emails at the end of the registration process. 

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

 

Other Information

How long has your health promotion initiative been in place?
 

2019 Roundtable Series Registration


Step 2 of 2: Attendee Information

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

 

Attendee Profile

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

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