Conference Registration Test Page

Site/Client ID*
Facility Name*
Attendee Name*
First Last
Attendee Title*

Please enter your job title
Attendee Job Category*
Please indicate your role type
Attendee Work Address*
Street Address City State / Province / Region ZIP / Postal Code
Country*
Attendee Phone
Attendee Email
Are you the primary contact for SNUG from your facility?*
- Yes
- No
If you are not the primary contact person, who is?
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Is your site a current member of SNUG? - Site must be PAID member for discounted rate
- Yes
- No

We couldn't verify your membership, please contact us to confirm your membership.
Conference Registration Fee — Per Person*
Conference Registration Fee — Per Person*
If registering for one or two days, please indicate which ones
- Monday
- Tuesday
- Wednesday
- Thursday

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SNUG Swag - Shirt Size - Must Register by Deadline
If you want a shirt only with no additional promotional items, please choose the Shirt Only No Swag and indicate your shirt size in the Special Needs Comment Box. If you want promotional items but no shirt, choose Swag Only - No Shirt option
Do you plan on attending the Pre-Conference Workshop*
Workshop will be held Sunday, May 3 from 1pm to 5pm
*****Receptions and Banquet***** Please indicate whether you will be attending each.
Welcome Reception — Sunday, May 3*
Vendor Reception — Tuesday, May 5*
SCC Sponsored Sunset Dinner Cruise (Free) — Wed, May 6*
Additional Banquet Guest(s)*
Banquet Guest Name(s)
Guest 1
Guest 2
Guest 3
Guest 4

Is this your first time attending SNUG Conference?*
If yes, will you attend Monday morning welcome breakfast?*
Have you served on the SNUG Board?*
What is the name of your HIS
Are you interested in presenting at a session? (Note: incentives provided)*
If yes, what is session topic?
Will you be staying at the conference hotel?
If no, reason? (cost/other arrangements/share hotel)
Emergency Contact Info:
Indicate any special needs (e.g. dietary):
Lunch Guest Fees:
Conference Fee:
Payment Options*
- Pay By CC
- Pay By Check
*** Please note that if choosing to pay via credit card, you must be ready to pay now in order to complete the membership registration.
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Remember, your registration is not complete until payment is received.
Payment instructions will be available on confirmation page.

For questions, please contact SNUG President, Steve Pleschourt at 507-284-2923 or pleschourt.steven@mayo.edu.
Conference Cancellation Clause: Cancel with no penalty on or before Friday, April 5, 2019. Full fees will be charged for cancellations received after Friday, April 5 2019 and the conference. Cancellations must be received in writing. Any course is subject to cancellation by SNUG, Inc.

Conference Disclaimer: SNUG, Inc. claims no liability for the acts of any supplier at this meeting or for the safety of any attendee while in transit to, from, or during this meeting. Attendees who purchase non-refundable airline tickets do so at their own risk. SNUG reserves the right to cancel this function without penalty. Total amount of liability to SNUG will be limited to a refund of fees paid by attendee less processing fees.

Privacy Statement: SNUG will only share your information with fellow SNUG members, the SNUG Registrar, SCC employees and SNUG Conference Sponsors. If you do not wish to share your information, please contact our registrar at snug@thelinkevents.com.

Invoice

Info

Name

Job Category

Facility Name

Address

Email

Phone

Charges

Conference Fee

Lunch Guests

Total
CAPTCHA - Enter the Value

Info
Name
Job Category
Facility Name
Address
Email
Phone
Charges
Conference Fee
Lunch Guests
Total

2019 Conference Registration

Invoice