Meeting Registration

Meeting Registration Includes Conference, Breakfast, Lunch, a Reception and a networking buffet dinner. Registration fees will increase on June 21st. No meeting refunds after June 21, 2021. No golf refunds after July 5, 2021.

Information in this form is exactly how it will be displayed on your name badge.

Step 1 of 2

First Name*
Last Name*
Title
Company*
Company Type*
Commodity*
Other*
Address*
Street Address Address Line 2 City State Zip Code
International Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
- Check here if you have an international address
Work Phone*
Cell Phone
Email*
Receipt Email
Meeting Registration
-
- Meeting Registration
- Golf Registration
Your spouse is welcome to attend for an additional cost. This cost includes all conference functions.
- My spouse would like to attend
Spouse's Name (If Name Tag Desired)
Would you like a hard copy of our meeting brochure?*
Are you interested in the MARS Young Professionals Committee?
Important Raffles Announcement: To be eligible to win the raffles, you must be present.
- Golf Registration 1st Player
Name*
If player name unknown, enter 'tbd'
Company
Email
Handicap
If player name unknown, enter 'tbd'
Your Preferred Golf Pairing, If Any:
Note: Groups entered together with fees are guaranteed to play together. Questions should be directed to Matt O’Kray (224-229-9169).
- Golf Registration 2nd Player
Name*
If player name unknown, enter 'tbd'
Company
Email
Handicap
If player name unknown, enter 'tbd'
- Golf Registration 3rd Player
Name*
If player name unknown, enter 'tbd'
Company
Email
Handicap
If player name unknown, enter 'tbd'
- Golf Registration 4th Player
Name*
If player name unknown, enter 'tbd'
Company
Email
Handicap
If player name unknown, enter 'tbd'
Sponsor a Hole at the Outing
Price: $100.00 Quantity:
Donation to MARS Programs & Scholarship Fund
- I will register now and mail a check payable to: MARS P.O. Box 357 Wayne, IL 60184
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Warning No Tickets Are Selected: Please scroll up and select at least one ticket before continuing.
Total
$0.00

First Name: {First Name:16}	Last Name: {Last Name:17}
Title: {Title:2}	Company: {Company:3}
Company Type: {Company Type:25} - {Commodity:108} {Other:109}
Billing Address: {Address (Street Address):107.1} {Address (Address Line 2):107.2} {Address (City):107.3} {Address (State / Province):107.4} {Address (ZIP / Postal Code):107.5} {Address (Country):107.6} {International Address (Street Address):4.1} {International Address (Address Line 2):4.2} {International Address (City):4.3} {International Address (State / Province):4.4} {International Address (ZIP / Postal Code):4.5} {International Address (Country):4.6}
Cell Phone: {Cell Phone:6}	Work Phone: {Work Phone:5}
Email: {Email:7}	Receipt Email: {Receipt Email:8}
Registration: {-:44}
Spouse/Guest Attending: {Spouse\'s/Guest's Name:20}
Would you like a hard copy of our meeting brochure? {Would you like a hard copy of our meeting brochure?:95}
Are you interested in the MARS Young Professionals Committee? {Are you interested in the MARS Young Professionals Committee?:96}
Golf Information: {:98.1} {Name:52} - {Company:97} - {Email:54} - {Handicap:38}{:53} {Name:57} - {Company:99} - {Email:56} - {Handicap:58}{:62} {Name:64} - {Company:100} - {Email:67} - {Handicap:68} {:63} {Name:65} - {Company:101} - {Email:66} - {Handicap:69}
Golf Pairing: {Your Preferred Golf Pairing, If Any::39}
Sponsor A Hole At The Outing: {Sponsor a Hole at the Outing (Price):24.2}
Donation: {Donation to MARS Programs & Scholarship Fund:102}
Total: {Total:32}
{ (I will register now and mail a check payable to: MARS P.O. Box 357 Wayne, IL 60184):28.1}

Meeting Registration

Step 1 of 2

Below is a summary of your order, please review carefully. Please click Submit to complete registration.