Online Registration Form

If you have already registered for the conference and need to register for the tours, please visit the Tours Registration.

Invoicing for conference registrations will begin on the date of the registration. All cancellations must be received in writing and a cancellation penalty may apply. For complete information regarding programming, hotel, registration cancellations, or special assistance needs, please visit www.csg.org or call (800) 800-1910.

By registering for the 2014 CSG National & CSG West Annual Conference you agree to allow the hotel to share your reservation information with CSG to ensure that you receive the discounted rate and are counted toward the 2014 CSG National & CSG West Annual Conference room block.

Attendee Information

* bold fields are required
Prefix: (Mr., Ms., Dr., other) *  
First Name: *  
Last Name: *  
Title:  
Organization: *  
Address: *  
City: *  
State: *  
Zip: *  
Office Phone: *  
Alternate Phone:
Email address: *  
Guest/spouse (if attending the conference):
Child 1 (if attending the conference):
Child 2 (if attending the conference):
Child 3 (if attending the conference):
Child 4 (if attending the conference):




Attendee Categories and Fees


Please check the appropriate box.
Early
(Nov. 1 - July 11)
Regular
(July 12 - Aug. 8)
Onsite
(Aug. 9 - Aug. 13)
$390 $490 $590
FREE FREE $500
FREE FREE $500
FREE FREE $500
$500 $500 $500
$750 $750 $900
$415 $515 $615
$200 $250 $300
$350 $400 $450
$200 $200 $200

Total Children:
$100 $100 $100
FREE FREE FREE

(please list session)
FREE FREE FREE
FREE FREE FREE


 

Additional Information




Attendee Payment Information

Payment Amount:
Enter Promotional Code:
Please select method of payment
Charge to:
Card Number:
Expiration Date:
Agency Name:
Agency Phone:
Agency Address:
Purchase Order #


 

Spouse/Guest/Child Payment Information

Payment Amount:
Please select method of payment
Charge to:
Card Number:
Expiration Date:


 

Special Assistance

Please list special dietary requirements, onsite assistance or needs required under the Americans with Disabilities Act.



Other needs:

All cancellations must be in writing and received no later than Friday, July 25, 2014 for a refund. With limited exceptions, cancellations received after July 25 or no-shows will not receive a refund. Contact CSG at (800) 800-1910 for more information.