SMK Registration Form

1. First Name *This question is required.

2. Last Name *This question is required.

3. Name for Badge *This question is required.

4. Email *This question is required. This question requires a valid email address.

5. Mailing Address *This question is required.

Street Address

Apt/Suite/Office

City

State

Zip or Postal Code

Country

Information on Registration Fee:

Early Bird Registration: $40.00

after January 31: $45.00
after June 30: $50.00
at the event: $55.00

This is payable at the time of registration and is only refundable if the event is canceled for whatever reason.

You can make payment via PayPal to mindsiview@gmail.com or via Venmo to @mindsiview

Please make sure to mark this as a payment to Friends & Family and NOT for Goods & Services.

You will be sent a confirmation of your registration after payment has been received. No space will be reserved for you at this event until payment has been received.

SMK Registration Form

SMucK-a-Palooza 2024 Registration