YWCA Madison

Registration: Moxie & Women of Distinction

The 2017 Moxie Conference, featuring the Women of Distinction Leadership Awards, is May 23 at Monona Terrace (1 John Nolen Drive, Madison).
* required information
Conference and Awards Presentation Registration 

Contact Information
If you are only attending the Women of Distinction Leadership Awards presentation you do not need to select breakout choices. If you are attending The Moxie Conference, please choose your first and second preferences for the AM and PM breakouts.
Moxie 2017 AM Breakout 1:
Moxie 2017 AM Breakout 2:
Moxie 2017 PM Breakout 1:
Moxie 2017 PM Breakout 2:
First Name:*
Last Name:*
Company Name:
Email:*
Address Line 1:*
Address Line 2:
City:*
County:*
State:*
ZIP/Postal Code:*
Preferred Phone:
Business Phone:
Indicate if you are attending in support of an award recipient or with a group for seating purposes:*
Specify name of Other Group, if applicable:
Special Meal Request (Only select if requesting non-standard meal):
Special meal request comment:
I authorize YWCA Madison to release my name and contact information to attendees for networking purposes.:*
Race/Ethnicity:
Race/Ethnicity Specification (only if final option chosen above):
Year of Birth:
Gender Identity:
I am unemployed, on a fixed income or underemployed. Please add my name to waiting list for donated conference registrations.: No
Yes
How did you hear about The Moxie Conference?:*

Registration Fees
The full-day Moxie Conference includes the Women of Distinction Awards Presentation + lunch. *Each Moxie attendee must register separately.*

If purchasing a table or multiple tickets for the Women of Distinction Leadership Awards, ---> download this form, <--- finish payment online, then email completed form to Delores Cooper at dcooper@ywcamadison.org.
Moxie Conference--Full Day Ticket
8a-4p
$300.00
Moxie Conference--Full Day Ticket (Non-Profit rate)
8a-4p
$200.00
Women of Distinction Leadership Awards Presentation ONLY Ticket
11:30 a.m. to 1:00 p.m., includes lunch
$80.00
TABLE for Women of Distinction Leadership Awards Presentation
11:30 a.m. to 1:00 p.m, includes lunch; 10 seats
$800.00
Quantity:*
Total Cost: $

Discount
If you have received a discount code, please enter it here:
Donation
Amount:$

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  • Registration Information

    We are pleased you will join us for the Moxie Conference, featuring the Women of Distinction Leadership Awards. If you are a Moxie Conference sponsor or registering with a sponsor group, contact Jay Young at 608.257.1436, option 2 for details on sponsor registrations.

    Cancellation and Substitution Policy

    Cancellations for the Moxie Conference + Women of Distinction Leadership Awards Presentation received before May 16, 2017 are refundable, less a five percent administrative fee. No refund will be made for cancellations after this date. Please note that if you don't cancel and don't attend, you are still responsible for payment. If you are unable to attend at the last minute, you are welcome to send someone in your place. Please notify the YWCA of any substitutions.

    Links to Event Information