Registration

Registration is now open. Your full registration rate includes 6 meals (including the fundraising dinner and concert). We will have one lunch out in the community. We are doing this in part to help expand awareness to the Springfield area about the blind community and also to help show support of our host city. We will have some shuttle busses to take us to some local restaurants. More details will be available next year as the conference draws near. This meal is on your own. We have a couple of other options available if you cannot attend the whole conference. We do have a day pass available and that is good for only the exhibit hall as well as the breakout sessions. It does not include the keynote/meal sessions. You can, however, purchase a meal ticket on top of your day pass and choose which keynote session you’d also like to attend.

We are using the Square payment system this year, however, we can also accept PayPal if you’d rather pay that way. Just call or email us. We are also allowing payment arrangements. We understand the expense that these conferences can be to your pocketbook and want to help ease the financial burden on you by allowing you to break up the Full Registration fee up into multiple payments. Be sure to submit the registration form first before clicking on the links to the payment portal on the Square system. If you have any problems, contact us at 405.939.0573 and we will be glad to assist you in completing the form.

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Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

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Zip Code

Level of Vision *

• Sighted
• Legally Blind/Partially Sighted
• Totally Blind

Preferred Conference Program Format

• Braille
• Electronic
• Large Print

Preferred Method of Communication

• Phone
• Text
• Email
• Snail Mail

Birthdate

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Gender

• Male
• Female

Mobility

• White Cane
• Guide Dog
• Sighted Guide
• Wheelchair/Scooter

Allergies (especially food allergies) or other health issues

Cause of Blindness/Eye Disease

How did you hear about the conference?

I am interested in group transportation if possible. This may be a chartered bus/van and I understand this incurs an additional fee.

• Yes
• No

I am interested in Post-Conference activities on Friday (Branson Show, etc).

• Yes
• No

I would like to order a conference t-shirt for $18. Adult sizes only (add $1 for 2XL, $2 for 3XL) choice. This will be invoiced seperately.

• Small
• Medium
• Large
• XL
• 2XL +$1
• 3XL +$2

Please note, clicking on the links below will open the Square payment portal in a new window. Please complete and submit your registration information first before going to the payment portal window and submitting your payment information.

Early Bird Registration Rate: $200.00

Valid until November 1, 2023.

Includes 6 meals including the fundraiser dinner and concert plus 10 raffle tickets.

We will be happy to break this up into two or three payments with the last payment being due on August 31st to secure this rate. Call us and we will invoice you seperately if you want to make payment arrangements.

Day Pass: $50

Good for one day only to visit the Exhibit Hall and attend Breakout Sessions. Does not include any meals or keynote speakers.

Meal Tickets: $25 ea.

You can purchase individual meal tickets here, which does include keynote addresses with the exception of the Fundraising Dinner and Concert.

Closing Night Fundraising Dinner and Concert: $50

Begins at 6pm

Closing Night Concert Ticket Only: $25

Begins at 7:30pm

 

I would like to make payment arrangements. $50 deposit. Payment in full by February 1st. You will be invoiced separately.

• Yes
• No

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