Event Sign-Up Form

2022 ICUB Convention and Conference

Before filling out the sign-up form below, you can review the event details by downloading the Event Packet using the buttons below. The first button is for the Microsoft Word version, the second is for the PDF version.

Once you have read the Event Packet, fill out the form below to sign up. Registration is $20. Meals and raffle tickets are extra and denoted below:

2022 Convention Sign Up Form

 

Enter your contact information and make your meal selections below. Each registrant must fill out the form separately:

WILL YOU BE ATTENDING IN PERSON OR OVER ZOOM?
SELECT BREAKFAST OPTION ($15)
SELECT LUNCH OPTION ($20)
SELECT BANQUET OPTION ($35)
PAY ELECTRONICALLY OR BY CHECK

When you submit this form with the button below, you will receive a confirmation email. After that, if you elected electronic payment, you will receive another email with a link to make your payment. If you elected to pay by check, please send it to Jeana Mowery, Treasurer, 29965 185th St. Honey Creek, IA 51542. Make checks payable to the Iowa Council of the United Blind.  Thank you!

Thank you for registering! You will receive an email confirmation shortly. If you do not see it within 15 minutes, please check your spam folder.​ Thank you! See you at the event!