Tri-State Development Summit
Registration Form for the Tri-State Summit!
Visit our website for more information: www.TriStateOfMind.com

Thursday & Friday, October 24 & 25, 2019

Thursday, October 24 | Complementary Tours, Appetizers, Networking
Dick Brothers Brewery Stock House & Museum
929 York St. | Quincy, IL 62301

Friday, October 25 | SUMMIT
Oakley Lindsay Center
300 Civic Center Plaza | Quincy, IL 62301

8 AM | Registration & Refreshments
9 AM | Morning Session - Connectivity
Noon | Networking Lunch & Recognition
1PM | Afternoon Session - Workforce + Lobbying

Cost : includes lunch + Thursday networking & tours
$45 per person
$10 per student with valid ID

DEADLINE: Friday, October 18, 2019 (advanced registration is required)

With everything we have accomplished in the last 20+ years, we know our Tri-State Region is Stronger Together. Especially as we transform our region by finding Innovation Through Collaboration.
We recognize leadership in Summit Task Forces and celebrate achievement by presenting the Innovation Awards. Speakers will be announced on the Summit website in the coming weeks.

Mail any payments to:
Tri-State Development Summit
300 Civic Center Plaza, Suite 256 | Quincy, IL 62301

Or go online to www.TriStateOfMind.com and use PayPal to pay online

For more information:
Tri-State Development Summit at Great River Economic Development Foundation
(217) 223-4313  |  info@tristateofmind.com

Sign in to Google to save your progress. Learn more
ATTENDEE
Name (as it should appear on badge) *
Title(s) *
Company or Organization
Address (City, State, Zip Code) *
Phone *
Email *
ADDITIONAL ATTENDEES
Name & Title
Name & Title
Name & Title
Please Indicate any special accommodations
Total Number Attending Summit *
Total Number Attending Thursday Networking & Tours *
METHOD OF PAYMENT
Number of attending __________ x $45 per person = $__________
Number of students  __________ x $10 per person = $__________
(nonrefundable, includes lunch + Thursday networking & tours)
Payment in full is expected upon registration.
Please use this registration form as your invoice.
If paying by Credit Card online, please use Pay Pal method on: http://tristateofmind.com/2019-summit/
Payment Method *
Required
ELECTRONIC SIGNATURE *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Great River Economic Development Foundation. Report Abuse