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CCTPTA Fall Conference Attendee Registration
Sarah Lazarowitz
2022-09-02T14:07:48-05:00
Attendee Information
County
(Required)
Title
(Required)
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
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Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
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Bahrain
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Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
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Canada
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Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
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Cook Islands
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Cyprus
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French Southern Territories
Gabon
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Ghana
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Guinea-Bissau
Guyana
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Hungary
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Indonesia
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Iraq
Ireland
Isle of Man
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Italy
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Kenya
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Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
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Norway
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Panama
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Paraguay
Peru
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Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
(Required)
Email
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Attendee Registration
Registration
(Required)
Select One
CCTPTA Member
Non-Member - $400
Single Day Registration - $100
Special Events
Welcome Dinner (Tuesday) - Nordy's BBQ & Grill, 6:00 p.m.
Offsite Event (Wednesday) - Betta Gumbo, 6:00 p.m.
Banquet (Thursday) - Embassy Suites, 6:00 p.m.
User Groups & District Meetings
GovEase User Group
Tyler Technologies User Group
District 1 (Garfield, Grand, Jackson, Moffat, Rio Blanco & Routt)
District 2 (Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson, Larimer, Pueblo & Weld)
District 3 (Cheyenne, Elbert, Kit Carson, Lincoln, Logan, Morgan, Phillips, Sedgwick, Washington & Yuma)
District 4 (Eagle, Gunnison, Lake, Pitkin & Summit)
District 5 ( Chaffee, Clear Creek, Custer, Fremont, Gilpin, Park & Teller)
District 6 ( Archuleta, Delta, Dolores, La Plata, Mesa, Montezuma, Montrose, Ouray, San Juan & San Miguel)
District 7 (Alamosa, Conejos, Costilla, Hinsdale, Huerfano, Las Animas, Mineral, Rio Grande & Saguache)
District 8 (Baca, Bent, Crowley, Kiowa, Otero & Prowers)
Meetings will take place on Friday at 2:30 p.m. at varying locations. All meetings are currently tentative. Should your selection not take place, we will notify you prior to the conference.
Betta Gumbo Meal Selection
(Required)
Jambalaya
Dinner Salad (Protein TBD)
Mac & Cheese with Chicken
Southern Garden Po' Boy
Banquet Meal Selection
(Required)
Roasted Pork Loin
Chicken Marsala
Chicken & Cheese Tortellini
Attendee Registration Subtotal
Do you need to register a guest?
Select One
Yes
No
Guest Registration
Guest Information
First Name
Last Name
Add
Remove
To enter multiple guests, please hit the + above after the last name field.
Will your guest(s) need a meal on Tuesday?
Select One
Yes
No
Tuesday - Welcome Dinner
Quantity
(Required)
Price:
$20.00
Quantity
Will your guest(s) need a meal on Wednesday?
Select One
Yes
No
Wednesday - Breakfast
Quantity
(Required)
Price:
$15.00
Quantity
Charge applies to those staying off-site. If staying at Embassy Suites please use a quantity of zero.
Wednesday - Lunch
Quantity
(Required)
Price:
$20.00
Quantity
Wednesday - Dinner
Quantity
(Required)
Price:
$25.00
Quantity
Betta Gumbo Meal Selection
Jambalaya
Dinner Salad (Protein TBD)
Mac & Cheese with Chicken
Southern Garden Po' Boy
Will your guest(s) need a meal on Thursday?
Select One
Yes
No
Thursday - Breakfast
Quantity
(Required)
Price:
$15.00
Quantity
Charge applies to those staying off-site. If staying at Embassy Suites please use a quantity of zero.
Thursday - Lunch
Quantity
(Required)
Price:
$20.00
Quantity
Thursday - Dinner
Quantity
(Required)
Price:
$25.00
Quantity
Banquet Meal Selection
Roasted Pork Loin
Chicken Marsala
Chicken & Cheese Tortellini
Will your guest(s) need a meal on Friday?
Select One
Yes
No
Friday - Breakfast
Quantity
(Required)
Price:
$15.00
Quantity
Charge applies to those staying off-site. If staying at Embassy Suites please use a quantity of zero.
Friday - Lunch
Quantity
(Required)
Price:
$20.00
Quantity
Guest Meals Subtotal
Roundtable Submissions
If you have a question, comment, or suggestion for the COVID Changes Roundtable session on Thursday, please provide them below.
What processes did you change during COVID?
What new processes are you keeping in place?
Are there any questions you'd like answered?
Payment Information
Total Registration Fees Due
Payment Method
(Required)
Zero Balance - No Payment Due
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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