ATTENDEE REGISTRATION
GUIDELINES:
Complete a separate form for each person attending.
DO NOT write checks to TBI, even if you are a state agency, including all colleges/universities.
ALL checks must be made out to TIBRS User Group.
Mail checks to:
TIBRS User Group
P.O. Box 795
Madison, TN 37115
Your registration fee includes 2 breakfasts, lucheon, breaks, and meetings.
The hotel does not accommodate dietary needs.
The first night of your stay will be charged to the credit card used to make your reservation.
Registration gifts are limited to one per person.
If you have to cancel, please notify Ashley.Anderson@tn.gov on or before August 31, 2023.
Final cancellation deadline to receive a fee refund is August 31, 2023.
Early registration fee: $105.00 (Registration form and fee must be postmarked no later than August 21, 2023)
Late registration fee: $140.00 (If registration form and fee are not postmarked by August 21, 2023)
Spouse/Guest fee: $25.00 (Per person - admission to luncheon)
Number of guest you are bringing with you to the luncheon:
Total amount to be submitted:
(You must click Calculate to continue.)
Current Date:
10/22/2026
(This form serves as your invoice. Please print and retain a copy for your records.)
First Name:
Last Name:
Full Agency Name:
(Please include the complete agency name. DO NOT enter initials only.)
Telephone:
(Telephone number valid format is 10 numeric digits only, no hyphens, spaces, etc.)
Email Address:
Contact in case of emergency: Name:
Telephone:
(Telephone number valid format is 10 numeric digits only, no hyphens, spaces, etc.)
I have read, completed, and understand this registration form.
Please click Submit to complete registration:
Attendee Telephone number valid format is 10 numeric digits only, no hyphens, spaces, etc.
Emergency Contact Telephone number valid format is 10 numeric digits only, no hyphens, spaces, etc.
Please select Calculate to enable the Submit button.
Fax number valid format is 10 numeric digits only, no hyphens, spaces, etc.