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Association or Firm Name ________________________________________________________________________________________________ My association is

Self - Managed or Professionally Managed by: _____________________________________________

Number of Units/Homes _______________________ Legislative District ___________________________________________________________ Name ______________________________________________________________________________________________

First Time Attendee

Address ________________________________________________________________________________________________________________ City/State/Zip ___________________________________________________________________________________________________________ Email ______________________________________________________________ (Registration confirmations will be sent to email addresses.) Phone _______________________________________ Food Allergies? ____________________________________________________________ Please check the session that you are most interested in attending in each time slot.* 8:30 – 9:45 a.m.

11:15 a.m. – 12:30 p.m. 2:15 – 3:30 p.m.

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1B 2B 3B

Do not provide my contact information to exhibitors and sponsors of CA Day. Name ______________________________________________________________________________________________ First Time Attendee

Address ________________________________________________________________________________________________________________ City/State/Zip ___________________________________________________________________________________________________________ Email ______________________________________________________________ (Registration confirmations will be sent to email addresses.)

Phone _______________________________________ Food Allergies? ____________________________________________________________ Please check the session that you are most interested in attending in each time slot.* 8:30 – 9:45 a.m.

11:15 a.m. – 12:30 p.m. 2:15 – 3:30 p.m.

1A 2A 3A

1B 2B 3B

Do not provide my contact information to exhibitors and sponsors of CA Day.

*Attendees will be free to choose different sessions at CA Day. This information is simply to assist in the planning process. Fees: Full registration includes continental breakfast, seminars, CA Day Resource Guide, lunch, keynote presentation and trade show. thru 9/27 thru 10/11 after 10/11

WSCAI Members Full Registration - per person (includes lunch)

Non-Members Full Registration - per person (includes lunch)

Other (per person): Lunch Only

Trade Show Only

Payment Method Check

MC Visa AmEx

Amount enclosed or to be charged to the credit card $ _______________________________________________________________________ Credit Card # _____________________________________________________________________________ Exp. Date ____________________ Name on Card (print) ____________________________________________________________________________________________________ Billing Address __________________________________________________________________________________________________________ Signature __________________________________________________________ Phone ______________________________________________

To Register: Mail to: WSCAI, 19101 36th Ave W Ste 205, Lynnwood, WA 98036 or Fax to: (206) 770-6123 (credit cards) Questions? (425) 778-6378 or info@wscai.org Cancellation Policy: Cancellations received after Friday, October 11, 2013 will not be refunded. Substitutions are welcome.

$79 $109

$50 $25

$99 $129

$55 $30

$125 $150

$60 $35

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1C 2C 3C

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