Gender:
 Male    Female




Paying $50.00 deposit by:
 Credit Card: (Someone will contact you.)

 Check: Make check out and mail to:
Verity
11850 Brookville Rd.
Indianapolis, Indiana 46239

If you are flying into the Indianapolis Airport, will you be in need of airport shuttle ($25.00 per person for round-trip shuttle)
 Yes    No

If yes, please provide the following:












At the conclusion of the WIT Conference, you will be given a WIT polo shirt. Please provide us with your shirt size:

Men's:   S     M     L     XL     2XL


Women's:   S     M     L      XL