Register Online

Online registration for AGLOW 2013 Conference
Date: September 23-26
Location: Fond du Lac, WI

Name
Email
Address
City
State
Zip
Phone
Spouse or guest name
This is my first conference
Year I became a member
Membership Classification
I am a current AGLOW officer or director
I was AGLOW President in
I will arrive on
I will depart on
I plan to material for (enter specific media outlets)
I will attend the following events (click all that apply)
Conference fees:
    $120 Media Member ($100 Before July 1)
    $120 Media Spouse ($100 Before July 1)
    $120 Corporate Member ($100 Before July 1)
    $150 Non-Media Guest
Total fees due