Online Registration Form

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 2017 CSG National 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 conference room block.

Registration and attendance at, or participation in, CSG meetings and other activities constitutes an agreement by the registrant to CSG's use and distribution (now and in the future) of the registrant or attendee's image or voice in photographs, videos, electronic reproductions and audio of such events and activities.

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):




Attendee Categories and Fees


Please check the appropriate box.
Early
(Ends Nov. 21)
Regular
(Nov. 22 - Dec. 12)
Onsite
(Dec. 14 - 16)
Public Sector
$445 $545 $645
$495 $595 $695

(please list day of participation)
$250 $270 $320
*Staff designates that you are a full-time state employee.
Private Sector
FREE FREE $520
FREE FREE $520
FREE FREE $520
$520 $520 $620
$920 $1020 $1120

(please list day of participation)
$370 $420 $470
Other
$250 $250 $250

FREE FREE FREE
FREE FREE FREE

(please list session)
FREE FREE FREE
FREE FREE FREE
 



Attendee Payment Information

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Purchase Order #


 

Spouse/Guest Payment Information

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CSG Policy Academies

(open to registered conference attendees)

As part of the CSG 2017 Policy Academy Series, registered conference attendees are invited to participate in two policy academies taking place during the conference. The academies will take place on Thursday, Dec. 14 from 8 a.m. – 5 p.m. Please review other conference events taking place during the policy academies before making your decision. The full conference agenda can be found at http://www.csg.org/2017nationalconference/Agenda17.aspx.

If you will attend one of the policy academies, please indicate below.

CSG Policy Academy: The Every Student Succeeds Act – What States Need to Know
CSG Policy Academy: Fundamentals of Water

CSG’s 2017 Interstate Compacts Summit

(open to registered conference attendees)

As a registered conference attendee, you are invited to participate in the CSG 2017 Interstate Compacts Summit. The summit will bring together key players in crafting and implementing interstate compacts—representing the legislative, executive and judicial branches—to discuss how states are coming together to solve national challenges in transportation, health, education and other areas through interstate collaboration.

The summit will meet on Friday, Dec. 15 and Saturday, Dec. 16. Please review other conference events taking place during the summit before making your decision. The full conference agenda can be found at http://www.csg.org/2017nationalconference/Agenda17.aspx.

If you will attend CSG’s 2017 Interstate Compacts Summit, please indicate below.

CSG’s 2017 Interstate Compacts Summit


 

Special Assistance

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



Other needs:

Additional Information


All cancellations must be in writing and received no later than Tuesday, Nov. 21, 2017 for a refund. With limited exceptions, cancellations received after Nov. 21 or no-shows will not receive a refund. Contact CSG at (800) 800-1910 for more information.