XSITE New England - Luncheon & Education Program

REGISTRATION PAGE FOR LUNCHEON AND EDUCATION PROGRAM ONLY: This registration page is if you are a planner who does not qualify for the tradeshow or a supplier who is unable to participate in the tradeshow, but would still like to attend the luncheon and education program presented by MPI CRV.  Please register for the XSITE New England Luncheon and Education Program by completing the form below. If you have any questions, contact Allyson J. Deckman at (860) 541-6438 or mpicrv@gmail.com.

REGISTRATION FOR FULL XSITE SHOW: Please visit: https://www.conference.com/eventmanager/onlineregistration.asp?EventCode=FXA

(* Denotes Required Fields)

Guest Information

Photo Release Statement

I give the MPI Connecticut River Valley Chapter, the absolute right and permission to use my photograph(s) in its promotional materials and publicity efforts. I understand that the photograph(s) may be used in a publication, print ad, direct-mail piece, electronic media (e.g. video, CD-ROM, Internet, World Wide Web), or other form of promotion for the Chapter. I release MPI CRV, the photographer, their offices, employees, agents, and designees from liability for any violation of any personal or proprietary right I may have in connection with such use.
I have read and agree with the Photo Release Statement. *  


Would you like to make a donation to the MPI Foundation? If so, please enter the amount here: Amount: $

Payment Information

Please choose the number of registrations for each pricing category:
Member Quantity: Cost: $75.00
Non-Member Quantity: Cost: $85.00
Student Quantity: Cost: $45.00
Payment Method: *  
  • Send check or money order to:
    MPI CRV, Attn: Allyson J. Deckman
    330 Main Street - Third Floor, Hartford, CT 06106
  • Confirmation of your registration will be sent via email.

Payment and Cancellation Policy

  • Check or money order must be received by 1/7/16 or you will be contacted to guarantee with a credit card.
  • All cancellations must occur by 5:00 pm on 1/7/16 for full refund; no refunds after 1/7/16
  • Anyone who does not show for the event will be charged.
I have read and agree with the above Payment and Cancellation Policy. *  

Credit Card Payment Information

(All credit card information must be filled out completely to make a payment.)
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Card Number:
Name on Card:
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Expiration Date: (MM/YYYY)
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Confirmation Email

Send Confirmation Email To: *


701 Hebron Avenue - 3rd Floor
Glastonbury, CT 06033
Phone: 860.541.6438

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