Register Online Using Your MasterCard, VISA, Discover or American Express
(Tax ID #77-0178140) NOTE: A $3 processing fee will be charged per transaction at check-out.

TUESDAY, SEPTEMBER 17, 2019
Fresno Convention & Entertainment Center


Ticket price includes Continental Breakfast, all Seminars, the Marketplace, Warm-Up, Keynote Luncheon with Tyra Banks, Cool-Down Session and Reception.

REGISTRATION: $125 per person (through August 16, 2019)

LATE REGISTRATION: $140 per person (beginning August 17, 2019)

Students ONLY – $75 per student (Save $35 by entering your student ID # at registration!)

The information you list below is where your conference badges will be mailed. Please include any Suite, Apt. or Mail Stop information to be sure your badges will reach you safely. Check to make sure all is correct!

*First Name
*Last Name
Company
*Street
*City
*State
*Zip
*Daytime Phone
(i.e. 559-555-1212)
*Email
If purchasing a table, what table name would you like to use?
Optional
Check here if you are attending the conference (if you are purchasing a ticket for someone else, leave this unchecked).
Have you attended the conference in the past 5 years?
You can purchase any combination of tickets (tables and/or general seating)

Quantity Registration Item Price
General Seating $125 (seating will be assigned to a reserved table for the keynote luncheon)
Student Seating $75 (seating will be assigned to a reserved table for the keynote luncheon, must have valid Student ID)
Table of 11 $1375 (Guest info will be collected later in the registration process)

Please note: A $3 processing fee will be charged per transaction at check-out.


As the primary contact person, all badges will be mailed to you to distribute to those attending CCWC in your group.

Please list the names and emails of the members of your group below. While this is not mandatory, we would like to have it for our records and be able to email them future CCWC information.

BREAKOUT SESSION REGISTRATION CHANGE:

We are no longer asking for breakout session selections prior to the conference. All seminar sessions will be available on a first-come first-served basis until the room is full per the fire marshal’s instructions. Please arrive early to avoid disappointment and make your group aware of this change. For your information and planning, breakout session titles and descriptions will be on our website: www.ccwc-fresno.org


Attendee First Name (if known) Attendee Last Name (if known) Attendee E-Mail (if known)

Billing Information:

Please read the notices in red below.

Notice: The Billing Information is only for billing the credit card. If the credit card belongs to someone else, please fill out their contact information below. If the contact and billing information is the same, check the box and go directly to the payment information.

Notice: All badges for your group will be mailed to the name and address listed in the contact information (not Billing Information). It is the responsibility of the contact person to distribute the badges to your guests.

Same as contact information?
*First Name
*Last Name
Company
*Street
*City
*State
*Zip
*Daytime Phone
*Email
Payment Information:
Name on Card:
* Please select one of the following:
Card Type :
Credit Card Number:
Expiration Date:
 /
CVV Code:
  (Security Code on back of card)
First Name:
Last Name:
Company:
Address:
City:
State:
Zip Code:
Phone:
E-Mail Address:
Items Ordered
Item Quantity Price
Total: $125.00

By clicking this button you understand that your credit card will be charged for the amount above.

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Credit Card Processing

If you prefer to register by mail, click here to print out the registration form.