Mid-Winter Conference Registration Form

2026 Mid-Winter Conference Registration

This registration form allows you to register up to 6 individuals from your agency at one time. If you are registering more than 6, email membership@wnoa.com to expedite the process.

Name*

First Last

Rank/Position*

Agency*

Drug Unit Name*

Drug Unit Supervisor Name / Email*

Phone*

Agency Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address*

Member Type*

Sworn Officer
Prosecutor
Other

(1) I would like to add another member from my Agency.

Yes

Name

First Last

Rank/Position

Email Address

(2) I would like to add another member from my Agency.

Yes

Name

First Last

Rank/Position

Email Address

(3) I would like to add another member from my Agency.

Yes

Name

First Last

Rank/Position

Email Address

(4) I would like to add another member from my Agency.

Yes

Name

First Last

Rank/Position

Email Address

(5) I would like to add another member from my Agency.

Yes

Name

First Last

Rank/Position

Email Address

WNOA Membership Fee*

This conference does not require a membership fee to attend. However, if you'd like to pay your membership at this time, you can. (If you attended the August Conference last year, your membership is good until August this year.)

I do not want to pay a membership fee at this time.
I understand this conference is free, but I would like to pay my $25.00 membership fee now (via PayPal, + $1.00 processing fee)
I understand this conference is free, but I would like to pay my $25.00 membership fee via check at the Conference

After submitting this application, you will have a chance to pay for your registration via PayPal.