uma-logo-form

ONLINE REGISTRATION FORM

2019 BUS & MOTORCOACH INDUSTRY LEGISLATIVE FLY IN

APRIL 2 & 3, 2019 | WASHINGTON, DC

 

Registration deadline is March 4, 2019!

 

REGISTRANT INFORMATION

(EACH INDIVIDUAL MUST SUBMIT A SEPARATE REGISTRATION INCLUDING GUESTS OR SPOUSES)

Spell Check

(NOTE: We will make the appointment for you! Please DO NOT set up your own meetings)

If NO please give further details (examples: I am guest/spouse and plan to only attend the dinner on the 2nd; I am an Executive Director of an association and would prefer to participate in my members’ appointments…)

Spell Check


IMPORTANT: Member/Affiliations Please ALL indicate the industry associations and organizations your company is a member or affiliated with (ex. State/regional associations, UMA, ABA, AAMA, NAMO, Trailways, IMG, etc.):

Spell Check

Company Information

(9 digits required)*

If your company has additional locations, please include below.

Home Information

(9 digits required)*

Other: Please note anything you need to share or would like us to note. Please be sure to note any pre-existing relationships or connections to Members of Congress staff members in the House and Senate

Spell Check

Additional Business Location(s) if needed:

[Please list any additional company location(s) if you’d like us to schedule appointments for you with representatives in these locations. You are an employer in these areas so make your voice heard] If you have more than space allows please email Sydni Konohia at  skonohia@uma.org and she will make sure they are added in.

 

(9 digits required)*

(9 digits required)*

(9 digits required)*

(9 digits required)*

(9 digits required)*

(9 digits required)*

(9 digits required)*


By attending, you hereby grant UMA, its representatives, and employees the right to take photographs and multimedia of you and your property in relation to UMA Capitol Hill Days. You also authorize UMA to use such images, with or without your name, for any lawful purpose including but not limited to publicity, editorial coverage, print advertising, and web content. I accept

Registration deadline is March 4, 2019!

 

(*9 digit zip code required to determine appropriate congressional offices for your meetings)