2024 Annual Conference Registration "*" indicates required fields Are you... ?* Registering for Myself Registering for Someone Else If you're completing this form for someone else or others including yourself, please let us know here.Your Name*Please enter your name as the person completing registration details for someone else. First Last Your Email*Please enter your email as the person completing registration details for others. Your Phone*Please enter your phone as the person completing registration details for others.2024 Conference Attendee InformationPlease provide the following contact details for the person attending the conference.If you're completing this form for multiple people you will need to complete a separate form for each attendee.Attendee Organization Name Attendee Name*This is the name of the person attending the conference. First Last Attendee Phone*Attendee Email* Attendee Ticket Purchase*Please specify the registration type for this attendee. Indiana AFCC Member ($100) National AFCC Member ($150) Non-Member ($200) Student or Judicial Officer ($75) Payment and Confirmation DetailsRegistration Total Price Credit CardCard Details Cardholder Name Any Questions or Comments?Simple Spam Test*What's the answer to 7 + six ? CAPTCHANameThis field is for validation purposes and should be left unchanged.