4797 Hayes Road Suite 102, Madison, Wisconsin 53704
(608) 244-1455 info@wisconsinpta.org

2019 Reflections Luncheon Registration Form

  • Please join us for the 2019 Reflections Luncheon on Sunday, April 14, 2019, at the Embassy Suites, 1200 S. Moorland Road, Brookfield. Check in begins at 11:00 am & the luncheon will begin at 11:30 am with the Recognition Ceremony to follow. Please provide the following information. After submission you will be routed to our MemberHub site to pay for your registration. Please be advised payment must be made with a credit/debit card and there is a small convenience fee charged by our third party vendor to process the payment. You may opt to download this form from the website and mail with your check to the address on the form.