| Who is completing this registration | What type of Attendees are you registering? | Event Attendee Publication Consent | What email address should we send the receipt to? | Company, Organization, School, Municipality, or Military Branch | Card Details |
|---|---|---|---|---|---|
| I'm registering as an attendee (1 person) | Not a member of One Okaloosa EDC/TeCMEN ($100.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | University of West Florida | amex XXXXXXXXXXXX2009 |
| I'm registering as an attendee (1 person) | A member of TeCMEN, One Okaloosa EDC, CGIA, or SAME ($75.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | Regions Bank | visa XXXXXXXXXXXX3463 |
| I'm not attending, but I'm registering one or more attendees at the same organization | Active Duty Military, Federal Civil Service, or State, Okaloosa County, or Okaloosa Municipality Elected Official ($25.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | City of Mary Esther | mastercard XXXXXXXXXXXX6846 |
| I'm not attending, but I'm registering one or more attendees at the same organization | Active Duty Military, Federal Civil Service, or State, Okaloosa County, or Okaloosa Municipality Elected Official ($25.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | City of Mary Esther | mastercard XXXXXXXXXXXX6846 |
| I'm registering as an attendee (1 person) | A member of TeCMEN, One Okaloosa EDC, CGIA, or SAME ($75.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | The UPS Store 6577 | visa XXXXXXXXXXXX2066 |
| I'm registering as an attendee (1 person) | A member of TeCMEN, One Okaloosa EDC, CGIA, or SAME ($75.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | Okaloosa Gas District | visa XXXXXXXXXXXX8574 |
| I'm registering as an attendee (1 person) | Active Duty Military, Federal Civil Service, or State, Okaloosa County, or Okaloosa Municipality Elected Official ($25.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | City of Crestview | visa XXXXXXXXXXXX3089 |
| I'm not attending, but I'm registering one or more attendees at the same organization | Active Duty Military, Federal Civil Service, or State, Okaloosa County, or Okaloosa Municipality Elected Official ($25.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | Okaloosa County Tax Collector | visa XXXXXXXXXXXX4700 |
| I'm not attending, but I'm registering one or more attendees at the same organization | A member of TeCMEN, One Okaloosa EDC, CGIA, or SAME ($75.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | Okaloosa County Tax Collector | visa XXXXXXXXXXXX4700 |
| I'm not attending, but I'm registering one or more attendees at the same organization | Not a member of One Okaloosa EDC/TeCMEN ($100.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | Okaloosa County Tax Collector | visa XXXXXXXXXXXX4700 |
| I'm registering as an attendee (1 person) | Active Duty Military, Federal Civil Service, or State, Okaloosa County, or Okaloosa Municipality Elected Official ($25.00) | I authorize name(s) and registered company/organization to be listed on the event attendee list. | Email hidden; Javascript is required. | USAF-AFRL | mastercard XXXXXXXXXXXX2587 |
| Who is completing this registration | What type of Attendees are you registering? | Event Attendee Publication Consent | What email address should we send the receipt to? | Company, Organization, School, Municipality, or Military Branch | Card Details |
