|2019 Quest for Success - The Ohio State University Fawcett Center|
On-Line TPE Member Registration - Please register for the conference by completing the following
* denotes required field
|Preferred Badge Name*:||
|Company Name*: ||
|TPE CONFERENCE REGISTRATION:|
|On Site Registration Desk Opens Sunday September 8, 2019 5:00 pm to 6:30 pm and Monday, September 9, 2019 at 8:00 am|
The conference sessions starts Monday, September 9, 2019.
|I'm registering as: |
Registered & PAID By Date:
Total including Discount
Early Conference Through August 15, 2019
$50 + $75 TPE Mem Discount
Full Conference After August 15, 2019
$75 TPE Mem Discount
Monday Only (includes all meals)
$50 TPE Mem Discount
Tuesday Only (includes all meals)
$50 TPE Mem Discount
A Journey with Joshua Perry
Event Ticket Only
$15 TPE Mem Discount
Awards Banquet Luncheon
$5 TPE Mem Discount
|Certificate Required? - Full Conference Only |
|Do you require a certificate of completion?
Name on certificate:
|A Journey with Joshua Perry Event: Monday evening, September 9, 2019|
||One A Journey with Joshua Perry ticket is included with each paid full conference registration. There is no cost savings if you do not attend.|
Do you plan to attend the A Journey with Joshua Perry Event Monday Sept. 9, 2019?
A Journey with Joshua Perry Event Tickets:
| I wish to purchase a ticket or register one or more guests for the A Journey with Joshua Perry Event Monday, September 9, 2019.|
x $30 per ticket
Joshua Perry Event Guest Names:
|TPE Awards Banquet Luncheon: Tuesday - noon, September 10, 2019|
||One Awards Banquet Luncheon ticket is included with each full paid conference registration. There is no cost savings if you do not attend.|
Do you plan to attend the TPE Awards Banquet Lunch?
|Purchase Additional |
Awards Banquet Luncheon Tickets:
|Applicable Fees - $60 - Price per additional ticket|
x $60 per ticket
Luncheon Guest Names:
|Other Registration Items:|
|Do you have Special Needs that require our attention?|
Food Restrictions /needs:
Other Special Needs:
|Membership or Sponsorship||If your organization is a Member Organization or Sponsor, Please select your category below:|
| Payment: |
|You will receive an emailed invoice from TPE within 1-3 business days following submission of this registration form. You will have the option of payment by check or credit card online.|
|CANCELLATION / SUBSTITUTION POLICY: Cancellation to your registration should be made in writing. Please e-mail email@example.com.|
Cancellations made on August 15, 2019 through August 31, 2019 will be subject to a $100 administration fee. Registrations that are not cancelled before August 31st and no shows will not be refunded or credited.
Substitutions may be made by calling (901) 830-4499 and providing the substitute's name.
By clicking the Submit Registration Button: I certify that I am a registered 2019 TPE Member and the TPE membership discount applies to my conference registration.
I also acknowledge that I have read, understand, and agree to be bound by this substitution / cancellation policy.
PLEASE PRINT THIS FORM FOR YOUR RECORDS
TPE Fed ID 34-82492
Questions? Call 901-830-4499 or e-mail: firstname.lastname@example.org