WI Council of Safety Supervisors Membership Renewal Notice - Wisconsin Motor Carriers Association

Thank you for your continued support of the Wisconsin Council of Safety Supervisors! Your support helps us provide a forum for the exchange of safety information, advance valuable safety education, and sponsor safety programs and activities of interest to the trucking industry. Dues for 2016 are now due and you can pay securely by credit card using the form below. You do not need to sign up for a PayPal account; simply choose the ‘Pay using a credit or debit card’ option.

Or, if you would rather send a check, please indicate it below and send your payment of $100 to:

WI Council of Safety Supervisors
PO Box 44849
Madison, WI 53744

Thank you very much!

2017 WMCA Convention Registration

Name*
First Last
Company
Address
Street Address City State / Province / Region ZIP / Postal Code
Phone
Email*
Ticket Type
Name of Additional Convention Attendee
First Last
Ticket Type
Name of Additional Convention Attendee
First Last
Ticket Type
Name of Additional Convention Attendee
First Last
Ticket Type
Is Your Company a WMCA Member?
- Yes
- No
Invoicing is only available for WMCA members. Non-members must use PayPal for payment.
Select Method of Payment*
- Pay Using PayPal
- Send me an invoice
Both Days Quantity
Price: $200.00
Opening Day Quantity
Price: $75.00
Day Two Quantity
Price: $150.00
Reception & Banquet ONLY Quantity
Price: $75.00
Diamond Club/Plus Full Registration Quantity
Price: $0.00
Transaction Fee
Please Note: If you are using PayPal, there will be a $5.00 transaction fee added to each order.
Price:
Both Days - $200 - Enter Quanity Below
Opening Day - $75 - Enter Quanity Below
Day Two - $150 - Enter Quanity Below
Reception & Banquet ONLY - $75 - Enter Quanity Below
Diamond Club/Plus Full Registration - $0 - Enter Quanity Below
E-Mail Invoice To:
Total
$0.00