Registration will close at xx p.m. Eastern on xxxxxx 2023.

NOTE: Please fill in all of the required sections of the registration form. If you do not complete a required box, it will NOT advance you to payment options. If you continue to have difficulty registering, please send an email to 5citiesplusconference@gmail.com.

Please complete the form below to register for this year’s conference. Please note that a paid registration is required for each person attending the conference and its related activities, including the social events. There are two optional, offsite tours on Monday.

The first xx people to register will receive a set of 2 beverage glasses and round ice molds.

Conference Attendee Registration

First Name

Last Name

Title

Choose OneUtility EmployeeConsultantGuest (Spouse, etc.)Note that guests must have a paid registration in order to attend conference events such as the evening receptions.

Utility/Company Name MSD CincinnatiColumbus Public Utilities DepartmentCitizens Energy Group of IndianapolisMSD LouisvilleNorthern Kentucky SD1MSD St. LouisOtherIf accompanying an attendee as a guest, please choose "Other"

Other NameIf a consultant, enter your company's name here. If accompanying an attendee as a guest, please enter "Guest of" and attendee's name in the box above.

Email

Phone

Address 1 Please enter your work address.

Address 2

City, State, ZIPIf outside US, please include City, Province (if applicable), Postal Code, and Country.

Event PlanningWelcome Reception at AC Hotel - Monday eveningWelcome Breakfast - TuesdayKeynote Luncheon - TuesdayHappy Hour - TuesdayBreakfast - WednesdayIn order to help us plan for meals and other events during this conference, please indicate your interest in attending. (Note that the optional Lick Run Greenway tour and Rhinegeist Brewery tour are not included in this list. Find more information about these tours at https://www.5citiesplus.org/optional-tours/. Also note that the Rhinegeist tour is a limited availability, separately ticketed event, which you can select as part of the payment process.)

Lick Run Greenway TourI plan to attend the offsite Lick Run Greenway tour on Monday. Tour information at: https://www.5citiesplus.org/optional-tours/

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Professional Development Yes, I would like to earn professional development hours/credits for this event (0.5 hr per breakout session).No, I do not need professional development credit for this event.

This price is per person. Conference registration fee includes the conference sessions and all related events and meals listed as part of the conference schedule EXCEPT the optional Rhinegeist brewery tour.

Conference Registration WITHOUT Rhinegeist tour ($150) 150USD

Refunds will not be granted after xxxxxx 2023, for registrants who cancel after that date or fail to attend the conference.