Award of Excellence

Use the form below to register your institution's employee to receive an award of excellence.

* denotes required

Institution Information
Institution *
Address *
City *
State *
Postal Code *

Contact Information
First Name *
Last Name *
Email Address *
Confirm Email *
Phone *
Fax
* after submitting conference form, an invoice will automatically be sent to the email entered above. An original invoice will only be emailed to the email address information you provide, please ensure the accuracy of this information. If the invoice needs to be sent to an additional person or department then use the "Billing Contact" below.

Billing Options ( Optional )
* Use this billing email address if copy of invoice needs to be sent to a billing department/person.
Billing Email
Confirm Email

Recipients
Note: the form below allows registration for 10 recipients. If your institution needs to register more than 10, adjust the number and to reload the form.
first recipient is free for each registered institution
1) Recipient Name *
each additional cost $40.00 per recipient
2) Recipient Name
3) Recipient Name
4) Recipient Name
5) Recipient Name
6) Recipient Name
7) Recipient Name
8) Recipient Name
9) Recipient Name
10) Recipient Name

Payment Methods
* choose one of the payment options below
Check
Credit Card
Purchase Order –
NOTE: after submitting registration form, an invoice will automatically be sent to the email(s) entered above. Please ensure the accuracy of this information before submitting.

Custodial Management Association of Texas