Ad Network Registration Form

TPA Ad NETWORK Member

TPA Ad NETWORK Member

TexSCAN, Texas Display Network, Online Network participants

Texas Press Association
Midwinter Conference & Trade Show

January 24-26, 2019 • Embassy Suites by Hilton, Denton Convention Center Hotel Deadline: January 9, 2019 at 5 p.m.
Newspaper Name: Your Email:
1st Registrant (Name on Badge): First Timer
Qualifying ad network members receive one complimentary registration, including conference meals and a two-night hotel stay
Hotel room nights to be booked for 1st Registrant (check one or both): ThursdayFriday
Please check which meal functions 1st Registrant will attend:
Cost = 0
2nd Registrant (Name on Badge): First Timer
Select full registration or choose individual meal functions
Full Registration $185
OR REGISTER FOR INDIVIDUAL EVENTS
Cost =
3rd Registrant (Name on Badge): First Timer
Select full registration or choose individual meal functions
Full Registration $185
OR REGISTER FOR INDIVIDUAL EVENTS
Cost =
4th Registrant (Name on Badge): First Timer
Select full registration or choose individual meal functions
Full Registration $185
OR REGISTER FOR INDIVIDUAL EVENTS
Cost =
Total
Select payment method and fax this form to 512-477-6759 or email mhodges@texaspress.com.
Check (payable to Texas Press Service, Inc. and mail to 305 S. Congress. Austin, Texas 78704) Or charge to my: VISA Mastercard Discover American Express
Card No: Exp: CVC: Name on Card
ZIP Code

QUESTIONS: Call Texas Press staff at 512-477-6755. NOTES: Registration cancellations must be received by Jan. 22, 2019 to receive a refund. Texas Press will make hotel reservations for ad network registrant. Additional registrants must make their own hotel arrangements by calling the Embassy Suites Denton Convention Center at (940) 243-3799. Rooms are $129 per night and deadline is Jan. 9, 2019.

Please click the "Submit" button to calculate your total payment due. To complete your payment, scroll down to the bottom of the page again and click the "Submit Payment" button. You will then be taken to the payment page where you can complete your transaction.