I am registering as an individual

I am registering as part of a group

Member

Title

First Name *

Last Name *

Organization

Country

State

Province

Address

City *

Zip

Email *

Phone

Position at Camp

First Time Attendee?

Is this the first-time attending a COCA-I Conference?

No Yes

Extra Breakfasts ($40 per breakfast!)

1 ($40.00) 2 ($80.00) 3 ($120.00)

Extra Dinners

1 ($85.00) 2 ($170.00) 3 ($255.00)

Individual

Title

First Name *

Last Name *

Organization

Country

State

Province

Address

City *

Zip

Email *

Phone

Position at Camp

First Time Attendee?

Is this the first-time attending a COCA-I Conference?

No Yes

Extra Breakfasts ($40 per breakfast!)

1 ($40.00) 2 ($80.00) 3 ($120.00)

Extra Dinners

1 ($85.00) 2 ($170.00) 3 ($255.00)

Exhibit Schedule

Thursday November 10th
Exhibitor Registration and Setup	8:30 am - 12 pm
Exhibitor Set Up	2 pm – 6 pm
Conference Registration	2 pm - 6:30 pm
New Attendee Reception	6:30 pm - 7 pm
President's Reception	7 pm - 9 pm
Hospitality Suite Open	9 pm - 11 pm
Friday November 11th
Exhibits Open	8 am - 5 pm
Keynote	8:45 am - 9:45 am
Breakout Sessions	10 am - 12:15 pm
Breakout Sessions	3:15 pm - 4:15 pm
Exhibit Breakdown	4 pm - 5 pm

SPONSORSHIP OPPORTUNITIES

Sponsors Deck

Exibitor $500
Special Supporter $1,000
Bronze $2,500
Silver $5,000
Gold $7,500
Platinum $10,000

Will You Use a Credit or Debit Card to Pay for Registration?

Yes No

Security Check

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Billing

First Name *

Last Name *

Country

State

Province

City *

Email *

Phone

Extra Breakfasts ($40 per breakfast!)

1 ($40.00) 2 ($80.00) 3 ($120.00)

Extra Dinners

1 ($85.00) 2 ($170.00) 3 ($255.00)

Exhibit Schedule

Thursday November 10th
Exhibitor Registration and Setup	8:30 am - 12 pm
Exhibitor Set Up	2 pm – 6 pm
Conference Registration	2 pm - 6:30 pm
New Attendee Reception	6:30 pm - 7 pm
President's Reception	7 pm - 9 pm
Hospitality Suite Open	9 pm - 11 pm
Friday November 11th
Exhibits Open	8 am - 5 pm
Keynote	8:45 am - 9:45 am
Breakout Sessions	10 am - 12:15 pm
Breakout Sessions	3:15 pm - 4:15 pm
Exhibit Breakdown	4 pm - 5 pm

SPONSORSHIP OPPORTUNITIES

Sponsors Deck

Exibitor $500
Special Supporter $1,000
Bronze $2,500
Silver $5,000
Gold $7,500
Platinum $10,000

Will You Use a Credit or Debit Card to Pay for Registration?

Yes No

Security Check

After you check the Captcha box please have patience. Press the Next button below only once. Occasionally the button is slow to respond, but it does work!

Please Enter Card Number *

Cvv *

Card Expiry *

Paylater *

Billing details

Username Password

First Name *

Last Name *

Billing Address *

City *

State *

Country *

Zip Code *

Phone *

Email *

Information for:

Exhibitor and Sponsor Registration Nov 10, 2022 08:00 am - Nov 11, 2022 08:00 pm

First Time Attendee?

First Time Attendee?

Individual

First Time Attendee?

Exhibit Schedule

SPONSORSHIP OPPORTUNITIES

Security Check

Billing

Exhibit Schedule

SPONSORSHIP OPPORTUNITIES

Security Check

Vision

Mission