Women’s Conference Group Registration Form
Thank you for your interest in the 2021 Women's Conference!  Please fill out this form to indicate how you prefer to pay for your group's registration.  

Early Bird Pricing before July  15th - $50
July 15th-September 1st - $75
After September 1st - $100

Note that you may cancel your group's registration up to 30 days before the conference. After that date, we are unable to refund any registration fees.  

Once we have received your group payment or generated your group's invoice, you will receive a promo code that is good for the number of registrations you purchased, along with detailed conference access instructions you can forward to your folks.

Please do not hesitate to send any questions to: jeanie.vela@publicdefenders.us
Sign in to Google to save your progress. Learn more
Contact Name *
Email address *
Best phone number to reach you *
Organization Name (please be specific and include the State your organization is located in, if not apparent) *
What kind of ticket are you wanting to purchase? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms