Special Registration

Hidden

Unique ID

Name*

First Last

Email*

Primary Job Role*

Job Title*

Attendee Type*

District Information

If applicable

Organization or Disitrict Name

District Number

Contact Phone

Mailing Address

Street Address Address Line 2 City State ZIP Code

IETA Membership

For more information on membership visit https://www.idahoedtech.org/membership/

IETA Membership*

No Membership–$0
1 year membership–$75

Your membership helps support IETA efforts such as Region Meetings, Message Boards, Legislative updates, and expense reimbursements for the volunteer board. We very much appreciate your support.

Conference Registration

Days Attending*

Wednesday February 2, 2022
Thursday February 3, 2022

Registrations after January 25, 2022 will not include meals as the conference center cutoff for meal orders has passed.

Conference Meals*

No Lunch
Wednesday
Thursday

Dietary Restrictions*

No Restrictions
Vegetarian
Gluten Free
Vegetarian and Gluten Free

Checkout

Payment Method

Credit Card
Purchase Order

Total

$0.00

Billing Name*

First Last

Billing Contact Email*

Payment Method–Credit Card

Credit Card*

Card Details

Cardholder Name

Credit Card billing address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Method–Purchase Order

Purchase Order #*

Billing Phone Number*

Purchase Order Billing Address