SERADTSEA Annual Conference Registration

Create Your Member Account & Register

If you are not already an ADTSEA member, you must create an account to register. A one-year ADTSEA membership is included with your registration.

First Name

Last Name

Phone

Username

Password

Confirm Password

School/Company/Organization

Street Address

City

State/Territory

Zip/Postal Code

Phone

Job Title

$45

Lunch

$85

Banquet

Dietary Restrictions

Payment Credit Card Purchase Order Check

First Name

Last Name

Billing Address

City

State/Territories

Zip/Postal Code

Card Type

Credit Card #

Expiration Date

CCV #

Please attach a copy of your purchase order

Send the check to

ADTSEA
1434 Trim Tree Rd
Indiana, PA 15701