ConvBODReg - Multiples of America

2023 CONVENTION REGISTRATION

2022-2023 Board of Directors

Registration Instructions

Complete the Registration Form below. Do not forget to include your guest(s) information.
Click on Proceed to Registration, Guest and Guest Meal Add Ons. This is where you will pay your registration, your guest fees, and guest meal add ons.
Once you have made all of your add on choices, you will click on the PayPal link to proceed to payment.
If you do not have to pay anything, you must still click on the Proceed to Next Page for us to receive your information.
Once we received your registration and payment, you will receive a final confirmation by email. You will receive your Welcome Package and Check In information in early July.
If you have any changes or updates to your registration after processing your payment and receiving your confirmation, you must do so in writing to the Executive Office at info@multiplesofamerica.org.

Name *

First

Last

Street Address *

City *

State *

Zip *

a pm: affiliated

Email *

Phone *

Check All That Apply *

I am on the Board of Directors for 2024-2025.
I am Past President
I am a Member of a Local Club.
I am a First-Time Attendee.
I am a Voting Delegate for my Member Club.
I am an Alternate Delegate for my Member Club.

Full Club Name You Are Representing (Do not abbreviate.) *

Board of Directors Title (Do Not Abbreviate) *

TOUR: Sabino Canyon & Miniature Museum – Thursday, July 24 – 9:00 am – 4:00 pm. Space is limited to 56. *

Yes, I will be attending the Sabino Canyon & Miniature Museum Tour.
No, I will not be attending the Sabino Canyon & Miniature Museum Tour.

WORKSHOP RESERVATIONS – Friday, July 25 – 2:30 pm – 3:30 pm: *

“When You’re Parched for Positives”
“Toe-Tappin’ Research”
I will not be attending these workshops.

WORKSHOP RESERVATIONS – Friday, July 25 – 3:45 pm – 4:45 pm: *

“When Life Gets Prickly”
I will not be attending this workshop.

FRIDAY PLATED LUNCH MEAL CHOICE – Friday, July 25 – Plate comes with a Salad and Flourless Chocolate Cake w/ cajeta caramel and pecan toffee. *

Lemon & Garlic Gremolada Angel Hair with heirloom blistered tomato, farmers market seasonal vegetables, and shaved parmesan.
Crispy-skin seared airline Chicken Piccata, Zucchini strands and parsley butter

SATURDAY PLATED LUNCH MEAL CHOICE – Saturday, July 26 – Plate comes with a Salad and New York Style Cheesecake with macerated strawberries *

Lemon & Garlic Gremolada Angel Hair with heirloom blistered tomato, farmers market seasonal vegetables, and shaved parmesan.
Filet of North Atlantic Salmon, Mediterranean Couscous, and Eggplant Caponata

GUEST NAMES (Guests can not be members of a club affiliated with Multiples of America. Please include names, relationship to you, and email address of all guests who will be attending with you.)

GUEST WORKSHOP CHOICES, IF APPLICABLE:

SPECIAL DIETARY RESTRICTIONS/ALLERGIES (include for you and your guests, if applicable):

I would like to be included in the 2025 Convention Attendee List distributed at the close of the Convention to all attendees. (name, address, phone, and email address). *

PHOTO RELEASE – By checking YES, you acknowledge that you, as a Convention Attendee, may be photographed and/or video recorded by a Multiples of America representative during Convention Events, including but not limited to: Welcome Gathering, Opening Luncheon, Business Sessions, Saturday Luncheon, Workshops, Bingo Night, Saturday Night Event. Such photographs may be used in Multiple of America publications, including, but not limited to: Multiple Connections, Club Helpline, Your Multiples and You, Multiples of America's website, and social media platforms, such as Facebook and Instagram. This constitutes your authorization for use of any photographs/ videos without any further release required. Please note, there will be no photographs taken during the Memorial Service. *

COVID DISCLAIMER – By checking YES, you agree that by purchasing a registration for this event, you understand and expressly acknowledge that an inherent risk of exposure to COVID-19 exists in any public place where people are present. In attending the event, you and any guests voluntarily assume all risks related to exposure to COVID-19, and waive, release, and discharge Multiples of America (aka The National Organization of Mothers of Twins Clubs, Inc.); or any of its directors, employees, vendors, speakers, or volunteers from any and all liability under any theory, whether in negligence or otherwise, for any illness or injury. You also agree not to attend any portion of this event if you are having symptoms of any kind or running a fever and that Multiples of America cannot refund any part of your registration due to illness, Covid-related or otherwise. *

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