Conference Registration

Registration

October 7-9, 2019 ▪ New Orleans, LA

* Indicates required field

Classification *

Registrant's Name *

First

Last

Institution or COmpany *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Telephone *

Email Address *

Person Completing Form (if other than registrant) *

First

Last

Email Address of Person Completing Form (if other than registrant)* *

Payment Agreement *

I understand that all registration payments are final. A 50% refund will be provided for registrations cancelled prior to September 1, 2019. No refunds are available after that date. TECSCU does allow for a substitute registrant from the same institution or organization. There is no charge for changing the name of the registrant, but the institution must notify TECSCU regarding the change.

Submit

Click below to print out completed registration form. (If you are paying by check, you must print out this form and mail with payment to:
TECSCU
51 Falcons Nest Circle #1062
Odessa, TX 79762

Click to Print

Fall Conference 2019

Registration