Registration Super Early Bird Registration is now open for $100. Save $50 on the regular registration fee if you register before August 31st. Payment options are available with a $50 non-refundable deposit. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLevel of Vision *SightedLegally Blind/Partially SightedTotally BlindPreferred Conference Program Format *BrailleElectronicLarge PrintPreferred Method of CommunicationPhoneTextEmailSnail MailBirthdateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920GenderMaleFemaleMobilityWhite CaneGuide DogSighted GuideWheelchair/ScooterAllergies (especially food allergies) or other health issuesCause of Blindness/Eye DiseaseHow 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.YesNoI need an assistive listening deviceYesNoI am a Personal Assistant or SSPYesNoI'm an Assistant/SSP for:I am a VolunteerYesNoI would like to order a conference t-shirt for $22. Adult sizes only (add $1 for 2XL, $2 for 3XL) choice. This will be invoiced separately closer to the conference time.SmallMediumLargeXL2XL +$13XL +$2I am purchasing Meals (ala carte option at check out).All InclusiveAla CarteI am interested in Post Conference Activities (cost varies and is not included in conference costs)Bass Pro ShopMagnolia Soap or Candle Making ClassRose District ShoppingExotic/Zoo ExperienceFor Exhibitor SponsorsIf you are an exhibitor sponsor, please continue to complete the information below and hit the submit button at the very bottom of this page. Company NameName(s) of those manning the boothCompany PhoneWebsite / URLCompany AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLevel of SponsorshipPlatinumGoldSilverBronzeMarketing/Goodie BagsAdd on'sExtra TableElectricityMeal TicketsAre you willing to donate an item for the auction raffle?YesNoWill you be sending Marketing Material or SWAG to be stuffed into the Goodie Bags?YesNoSubmit Skip back to main navigation