Looking toward Fall 2021 and Beyond
Multiple Registrant Form

Register more than one member of your institution and receive a 20% discount. Please use this form to submit your registration and receive the discount. This program is only available to SCUP, NACAS, or ACUHO-I members. Confirmation of your registrations will be sent within 24 hours of receipt. Payment is due by 2/15/21, or your registrations will be canceled.

Invoice Information

Email of Invoice Recipient

Registrant Information

First Name

Last Name

Email

Title

Organization

Association Alliance

SCUP provides a participant list to all registrants of the event to assist with networking. Only your name, title, organization, and email is included. Would you like to be included in this list?

YesNo

Please indicate if the registrant has a special accommodation need. A staff member will contact you prior to the conference.

Hearing ImpairedBlind or limited vision

Registrant Information

First Name

Last Name

Email

Title

Organization

Association Alliance

SCUP provides a participant list to all registrants of the event to assist with networking. Only your name, title, organization, and email is included. Would you like to be included in this list?

YesNo

Please indicate if the registrant has a special accommodation need. A staff member will contact you prior to the conference.

Hearing ImpairedBlind or limited vision