Photos from Fort Lauderdale. . . View stream on flickr If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Fort Lauderdale IRMA Conference 2016 REGISTRATION FORM PROCESS: First choose the type of registration, then you can select how many you are registering with this form. PAYMENT: Your payment can be processed with PayPal, or you can have an invoice sent to you for the amount due. If you're registering one attendee as a magazine member or silver sponsor, or two as a gold sponsor, there is no additional fee. DEADLINE: You need to register and arrange for your room at the B Resort Hotel by August 15, 2016. TYPE OF MEMBERSHIP Gold Sponsor Silver Sponsor Magazine Member Guest of IRMA / Honorary Member Magazine Title: Adirondack Life albemarle: Living in Jefferson's Virginia Arizona Highways Arizona Wildlife Views Avenue Magazine BC Magazine Colorado Life Cottage Life Delaware Beach Life Down East The Iowan KANSAS! Lake Superior Magazine Louisiana Life Maine Boats Mississippi Magazine Missouri Life Mountain Home Nebraska Life Magazine New Mexico Magazine North Dakota Horizons Northwest Travel & Life Oklahoma Today Pennsylvania Magazine Rhode Island Monthly Saltscapes IRMA Texas Co-op Power magazine Texas Highways Traverse Wyoming Wildlife Yukon IRMA Primary Contact Information (the person handling the registration) First Name Last Name Email of IRMA contact Phone of IRMA contact Address 1 Address 2 City State / Province Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Magazine Member Registration Fees: REGISTRATION: All meals, sessions, etc., included. First registration: included with dues Additional attendees, full registration: $750 Honorary member, full registration: $750 IRMA guest publications, full registration: $750 Member guests / family (discounted, no lunch or coffee breaks): $500 Students, per day: $100 Choose the appropriate registration amount from the dropdown menu when adding each new person. REGISTRANT ONE: Registrant One: TYPE First full registration, included Addl. full registration, $750 Honorary Member, full, $750 Family Member, guest, discounted, $500 Guest of IRMA, publication, full, $750 Student, $100 per day FIRST NAME LAST NAME Job Title for Registrant one Name as is should appear on badge EMAIL ADDRESS * CELL PHONE ANY special needs, notes or comments arrival date departure date Sub Total so far REGISTRANT TWO: Registration type: * Full registration, $750 Honorary member, full, $750 Family member, guest, discounted, $500 Guest of IRMA, publication, full, $750 Student, $100 per day Select registration type FIRST NAME * LAST NAME Job title for registrant two Name as is should appear on badge EMAIL ADDRESS REGISTRANT THREE: Registration type: Full registration, $750 Honorary member, full, $750 Family member, guest, discounted, $500 Guest of IRMA, publication, full, $750 Student, $100 per day select registration type FIRST NAME LAST NAME Job Title for registrant three Name as is should appear on badge EMAIL ADDRESS REGISTRANT FOUR: Registration type: Full registration, $750 Honorary member, full, $750 Family member, guest, discounted, $500 Guest of IRMA, publication, full, $750 Student, $100 per day Select registration type FIRST NAME LAST NAME Job Title for registrant four Name as is should appear on badge EMAIL ADDRESS * CELL PHONE ANY special needs, notes or comments arrival date departure date reg three