Meeting Registration Winter 2019 Meeting Registration Form TMHA Regulatory & Economic Meeting – December 4th & 5th, 2019 Jumer's Casino & Hotel - Rock Island, IL Only ONE attendee may register per registration form. Name:* Company:* E-Mail:* (Meeting Registration confirmations will be sent via e-mail!)Best Phone Number:*IF YOUR COMPANY IS NOT A MEMBER, PLEASE PROVIDE THE FOLLOWING INFORMATION:Your Title: Mailing Address: Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Other Information About You Or Your Company: IMPORTANT NOTE: There is a $99 Registration Fee for this TMHA Meeting / Event. The fee is all-inclusive of the Meeting, Wednesday evening Dinner, and Meals and Breaks provided during the meeting.plan to attend I plan to attend the Wednesday evening Dinner I plan to attend the Thursday Meeting Amount of Your Payment* Price: Payment Via: ($99)* Submit and Pay by Check Submit and Pay with Credit Card Credit Card* American ExpressDiscoverMasterCardVisaJCBMaestroSupported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name CAPTCHA