2019 Symposium Registration
37th Annual Midwest Symposium for Leadership in Behavior Disorders
February 21 - 23, 2019
Register an individual or a group, credit card payments only.
- This link will redirect to the online registration form powered by eShow.
- Only use this link if you are paying with a Credit Card.
- Each individual or group registration will require you to enter the contact information for the individual responsible for payment.
Use this form to register an individual or group and pay by check or securing payment with a purchase order.
- Please include name, phone number and email of the individual coordinating payment for receipt and invoice purposes.
- Registrations will be accepted by mail with check payment. A confirmation will be emailed to the participant(s) once the registration has been entered by the MSLBD Office.
- Groups registering with a purchase order may do so through January 25.
- Email or fax your registration form and the purchase order to the MSLBD Office, Fax: 402-875-6545, email: email@example.com
- An invoice will be sent to the group contact. Payments for purchase orders must be received before or at the time of check-in for the 2019 Symposium.
- If you need help to register, please contact us. Phone: 402-792-3057, Fax: 402-875-6545, email: firstname.lastname@example.org, or mail: Midwest Symposium, PO Box 202, Hickman, NE 68372
|Choose one of the Following Registration Options||*Discount for Early Registration||Regular Registration|
|Presymposium Workshop & Symposium||$180.00||$205.00|
|Presymposium Workshops Only||$150.00||$175.00|
*Early Registration Discount Wednesday, January 23, 2019
Hotel Reservations are the responsibility of the participant.
If you must cancel your registration, please notify the MSLBD Office at email@example.com, in writing by 5:00 p.m. central time Wednesday, January 23, 2019, to receive a refund less a $35 administrative fee. No refunds will be given after January 23.
Transfer a Registration
Registrations may be transferred to another individual without penalty. Please notify the MSLBD Office at firstname.lastname@example.org in writing as soon as possible about the change. Please fill out a new registration form (download here) for the individual assuming the registration and list the name of the individual who will not be attending on the form.