Convention Registration WCB: Right Place, Right Time 2024 Convention Registration Step 1 of 12 8% IntroductionTHANK YOU FOR CHOOSING TO JOIN US FOR THE 2024 WCB CONVENTION! Your registration is confirmed when payment is received. Advance (online) registration ends at midnight on Friday, October 4. Contact InformationName(Required) First Last Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)Email(Required)By entering your email address, you will receive a confirmation email when your form is successfully submitted and another when your electronic payment is completed. WCB Membership Status(Required) Yes, I am a WCB member No, I am not a WCB member I have been awarded a 2024 WCB scholarship WCB Convention Attendance (check if applicable) This will be my first WCB convention Registration SelectionThis year's convention will be hybrid, as well as being streamed on ACB Media. Registration Type(Required) I will attend in person I will participate virtually I will participate in the WCB Annual Business Meeting only Special Arrangements made by certain chaptersONLY IF YOUR CHAPTER HAS MADE PRIOR ARRANGEMENTS WITH THE WCB TREASURER ... indicate which chapter will cover the cost of your registration. YOU MAY ONLY CHOOSE ONE CHAPTER. The registration cost will be offset and you will only be responsible for any additional cost you select for meals, activities, and dues.Chapters with prior arrangementsYour eligibility will be verified between the WCB treasurer and the applicable chapter treasurer and you will be notified of any issues with your registration and payment. CHOOSE ONLY ONE CHAPTER. CLCCB UBTC UBWW WCBD current subtotal for this registration Optional Convention ActivitiesIndicate your interestThe following activities have a VERY limited number of slots open. Requests will be filled based on the order received, so you will be notified if your request can be honored. Participate in the Showcase of Talent on Friday evening Receive One on One technology training on Friday Attend Blind Bricks (Lego) breakout session on Friday Convention Program FormatPreferred format(Required)Choose the format you prefer for convention materials such as the program, proposed amendments, and proposed budget. Printed materials (large print or Braille) must be produced in advance of the event, so they may be outdated when received. Electronically via email Large Print hard copy Braille Preferred format(Required)Choose the format you prefer for convention materials such as the program, proposed amendments, and proposed budget. Printed materials (large print or Braille) must be produced in advance of the event, so they may be outdated when received. Large Print hard copy Braille Convention SponsorshipsOur annual WCB convention wouldn't be the same without the support of our friends, members, and sponsors! If you would like to be a convention sponsor by donating funds, please indicate your support below. All levels of sponsors will be recognized in print in the convention program and in the next issue of the WCB Newsline, as well as verbal mentions throughout the event, unless they choose to remain anonymous. Thank you for your support!Sponsorship Level Platinum sponsor ($200) Gold sponsor ($100) Silver sponsor ($50) Bronze sponsor ($25) No sponsorship Sponsor RecognitionIndicate your preference in recognizing your sponsorship. I wish to remain anonymous I agree that WCB may recognize my name in print or by announcement current subtotal for this registration Attendee ParticipationChoose your selections for activities and meals.Friday Breakout Session: Pamper YourselfThis session has a very limited capacity and requires an additional charge of $25 for materials, which will be added to the cart. I don't plan to attend this session Yes, reserve my spot ($25) MealsONLY ATTENDEES WHO CHOOSE TO ADD MEALS WILL BE ALLOWED IN THE DINING AREA. All 5 meals (Fri. & Sat. breakfast & lunch plus Sat. banquet) Banquet only No meals included current subtotal for this registration In Person Meal SelectionsFriday Breakfast (room designation)Please help us make sure we have an adequate number of meals in each of the rooms on Friday. You will only be allowed to attend the breakfast you selected in advance. General Attendees breakfast Presidents breakfast (by invitation from Andy Arvidson) First Timers breakfast Saturday lunch (room designation)Please help us make sure we have an adequate number of meals in each of the rooms on Saturday. You will only be allowed to attend the lunch you selected in advance. General Attendees lunch WCB Life Members lunch GDUWS lunch current subtotal for this registration Pay 2025 Dues in advanceFor your convenience, you may choose to pay your annual WCB/ACB membership dues and/or local chapter or special affiliate dues. You may also choose to become a new WCB Life Member. NOTE FOR LIFE MEMBERS: Select the first radio button "Annual WCB/ACB Dues $10" and the amount will be updated as long as you have checked the appropriate membership status. NOTE FOR MEMBERS WHO WANT TO PAY DUES LATER: You will not be able to select local chapter dues unless you choose to pay annual WCB/ACB dues.WCB Life Membership Status(Required) Yes, I am a Life member of WCB No, I pay my dues annually ACB Life Membership Status(Required) Yes, I am a Life member of ACB No, I pay my dues annually 2025 Annual Dues(Required) Annual WCB/ACB Dues $10 New WCB Life member $150 I will pay dues later Chapter and Special Interest Affiliate DuesRenew your membership in a chapter or become a member as of January 1, 2025. Please note that some chapters may have additional requirements for membership. CCCB Capital City CLCCB Clark County GDUWS Guide Dog Users of Washington State JCCB Jefferson County PCB Peninsula PCAB Pierce County SICCB Skagit & Island Counties SCCB Snohomish County SKB South King SKCB South Kitsap SCB Spokane UBS Seattle UBTC Tri-Cities UBWW Walla Walla UBWC Whatcom County WCB Diabetics YVCB Yakima current subtotal for this registration Instructions, Comments, or RequestsPlease provide any additional information pertinent to your convention registration. If you require a reasonable accommodation to participate in this event, specify your request below and you will be contacted for further details. If you have food allergies and you've purchased the meal package, please specify this info here. You may also include special dietary requests.Additional Notes All 2024 WCB Convention attendees TAKE NOTEWCB Convention Attendee Expectations(Required) I agree to WCB expectations detailed below.Expectations for Those Attending WCB-Sponsored Events: Washington Council of the Blind strives to provide a safe and comfortable environment for all of our event participants. Attendees at WCB-sponsored events are expected to govern themselves in an appropriate, acceptable and sociable manner at all times, whether in person or on Zoom. Preview SelectionsPlease review your selections before proceeding to pay for your registration.{all_fields} Pay Registration FeesYour registration is confirmed only upon receipt of payment in full.Grand Total of All Fees This is the total cost of your 2024 WCB convention registration based on your form selections, which may include 2025 dues.Payment Method Pay now with PayPal or a credit card I will mail a check Pay via PayPal or Credit CardMake Registration PaymentPayPal CheckoutCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Check NoticeYOUR REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED! Enclose a copy of this form with your check made payable to WCB and mail both to: Washington Council of the Blind / PO Box 675 / Yakima, WA 98907-0675 Δ