Registration Form

Registration Form

WI-NENA 2001 Fall Conference

Use this form to register for the conference:

Submit on-line by completing the form andclicking the “Submit” button at the bottom of the page.

or, Complete the form, print it out and mail itto:

WI-NENA c/o Ameritech 9-1-1 Public Safety, LowerLevel, 2140 Davidson Rd. Waukesha, WI 53186

with a check payable to WI-NENA or provide yourMaster Card or VISA information.

Applications submitted without check or creditcard information will be billed.

**Please note we donot currently provide for secure transactions on this site.**

Conference questions should be directed to MaryOrlowski, (414) 678-5840 or email: [email protected]

Attendee Information: (Please register only one attendee and guest per form)

(As you would like it to appear on your name badge)



(As you would it to appear on your name badge)

Registration Fees:

Registration fees include:

     All education sessions, admittance to the exhibit area, registration materials, Welcome Reception, refreshments, Monday Lunch and Vendor Reception and Tuesday night party and dinner.

Spouse or Guest Registration:

   Tuesday night party and dinner only.

 Vendor Only passes:

     Includes Monday Lunch and Vendor Reception.

Pre-Conference Course:

     Includes lunch and handouts.

                                                                                                  Early Registration                  Regular Registration

                                                                              postmarked: (by Aug. 15, 2001)                        (after Aug 15, 2001)

NENA Member                                                                                $80                                                $90

Non-Member                                                                                    $90                                                $100

Vendor Only/One Day Only Pass                                                       $35                                                $35

800 Mhz Panel Discussion Only (Wed, Oct 3, 9-12am)                      $25                                                $25                      

Yes! I plan to attend the Tuesday night Reception and Dinner.

Yes! I will be accompanied by a Spouse/Guest.  ($30)

Yes! I will attend the Pre-conference Course!  School and Workplace Violence($75)

If you would like to submit your credit card information, complete the fields below.

**Remember our site is not currently a secure site.**


See you at the conference!