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{{conference.Name}}

{{conference.StartDate | date: 'MMMM d, yyyy'}} - {{conference.EndDate | date: 'MMMM d, yyyy'}} {{conference.StartDate | date: 'MMMM d'}} - {{conference.EndDate | date: 'MMMM d, yyyy'}} {{conference.StartDate | date: 'h:mma'}} - {{conference.EndDate | date: 'h:mma'}}, {{conference.StartDate | date: 'MMMM d, yyyy'}}


{{conference.Location}}


This form allows you to add multiple registrants from a single institution. Simply hit the “add” button at the bottom of this screen for each registrant before proceeding to the contact information.


First Name is required
First Name cannot be more than {{MaxLengths.Attendee.FirstName}} characters
Last Name is required
Last Name cannot be more than {{MaxLengths.Attendee.LastName}} characters
Position is required
Position cannot be more than {{MaxLengths.AddtlCols.PositionFreeText}} characters
Institution is required
Institution cannot be more than {{MaxLengths.Attendee.Organization}} characters
Phone is required
Phone cannot be more than {{MaxLengths.Attendee.Telephone}} characters
Email is required
Email is not valid
Email cannot be more than {{MaxLengths.Attendee.EmailAddress}} characters

If you need to register any more attendees (beyond the {{order.Attendees.length}} already included), please send an email to arivera3@wisc.edu with the subject line: "CCWT Waitlist" to be placed on a waitlist for this event. We will notify you in the order received if space opens up.
Name Phone Email
{{attendee.FirstName}} {{attendee.LastName}} {{attendee.Telephone}} {{attendee.EmailAddress}} Edit Remove
Total Cost: {{order.OrderTotal | currency}} $0.00

The registration contact is a person who CCWT can get in touch with if a question arises from this order.

First Name is required
First Name cannot be more than {{MaxLengths.Contact.FirstName}} characters
Last Name is required
Last Name cannot be more than {{MaxLengths.Contact.LastName}} characters
Address 1 is required
Address 1 cannot be more than {{MaxLengths.Contact.Address1}} characters
Address 2 cannot be more than {{MaxLengths.Contact.Address2}} characters
City is required
City cannot be more than {{MaxLengths.Contact.City}} characters
State is required
Postal Code is required
Postal Code cannot be more than {{MaxLengths.Contact.PostalCode}} characters
Phone is required
Phone cannot be more than {{MaxLengths.Contact.Telephone}} characters
Email is required
Email is not valid
Email cannot be more than {{MaxLengths.Contact.EmailAddress}} characters

Confirm your information

Contact Information

{{order.ContactInformation.FirstName}} {{order.ContactInformation.LastName}}
{{order.ContactInformation.Position.PositionName}}
{{order.ContactInformation.Address1}}
{{order.ContactInformation.Address2}}
{{order.ContactInformation.City}} {{order.ContactInformation.State.Abbreviation}} {{order.ContactInformation.PostalCode}}
{{order.ContactInformation.Telephone}}
{{order.ContactInformation.EmailAddress}}

Attendees

Name Phone Email Attendee Cost
{{attendee.FirstName}} {{attendee.LastName}} {{attendee.Telephone}} {{attendee.EmailAddress}} {{attendee.FormattedAmount}}

Total Cost: {{order.OrderTotal | currency}}

Payment Method is required

No Payment required

Payment with {{conference.PaymentMethods[0].Description}}

Unable to process order

Trouble registering? Contact Amy Rivera or call (608) 265-2860

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