If you are interested in attending, presenting a paper or exhibiting at Midwest Chapter Conference 2015 in Chicago, please complete the following form.

    Please fill out the information below to register for the conference. We will send an invoice for payment to you. If you choose to pay by credit card we will send a PayPal invoice that will allow you to do that.

    Title (Dr., Mr., Ms., etc)

    Full Name (required)


    Phone Number

    Organization or Company




    Zip Code

    Please select one of each:

    Conference attendee ($75)Exhibitor ($600, Attendee Fee not included in price)

    CheckCredit Card

    Any other comments?

    Thank You!