Illinois LICA's 2027 Convention Registration
January 13-15: Embassy Suites by Hilton - East Peoria, IL
Name
*
First Name
Last Name
Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Please list any special dietary needs:
Payment Method
*
Credit Card (4% convenience fee applies)
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FREE Trade Show only
By checking this box, I agree to submit payment by check immediately and understand that my financial obligation remains in place regardless of attendance or cancellation without proper notice.
$100 late fee after January 8, 2027
Trade Show Only (FREE)
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Admission to the trade show only Jan. 14th 1-4 pm or Jan. 15th 9-11 am.
Full Participation - Individual ($250)
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Includes all meals, activities, entertainment, and trainings (excluding septic) Wednesday - Friday for one (1) individual.
Full Participation - Couple ($400)
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Includes all meals, activities, entertainment, and trainings (excluding septic) Wednesday - Friday for one (1) couple.
Full Participation - Child ($100, 4 & under free)
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Includes all meals, activities, entertainment, and trainings (excluding septic) Wednesday - Friday for one (1) child under 12 yrs old.
Tour ($40): Jan 14th 8:30 am - 12 pm
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Tour the Komatsu Plant.
Please list all attendees and days they plan to attend:
*
Hidden total for new members
New Member Code:
Please mail a check for the full amount shown below to 112 Exchange St., Suite 2, Galva IL 61434
Calculation
Total:
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USD
4% convenience fee included
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