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ANCA Virtual Summit Registration Form 2020 Pay by Check/Square Invoice

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Join us for the 2020 ANCA Virtual Summit, September 14-17.

We might not be able to meet in person but we will be able to offer our Summit Workshops, Facilitated Discussions, and Open Space. 

Partial registrations cannot be saved. It is a good idea to understand all of your options and have all of your information on hand before you start filling out the registration form. Read the Virtual Summit information on our website here. 

If you'd like to pay for your Registration with PayPal, please close this form and select the PayPal form on our 2020 Virtual Summit webpage here. For any additional questions please contact our Events Coordinator at

ANCA Virtual Summit Registration Options
The ANCA Virtual Summit is for ANCA Members. New to ANCA or need to renew your membership? Please go here,, or contact to request a membership invoice.
Finish filling out this form only if you intend to pay by check or with a Square Invoice.
Contact Information

First Name
Last Name





Address Line 1
Address Line 2
ZIP/Postal Code
If you are not an ANCA Member, please go ahead and complete your Summit Registration and then go to the ANCA webpage,, to join ANCA!

With your permission, we will include your contact information in a Participant Directory available to all Summit attendees.
Virtual Summit Workshops
You selected the Full Summit which includes the Tuesday Workshops. Descriptions of the Morning and Afternoon Workshops can be found here:
Participant Waiver
Use of Session Recordings: Summit participants may not download, distribute, or sell session recordings, or otherwise use in any way other than intended, in part or in whole, without obtaining written permission from ANCA and the presenter.
Photography/Video of Summit Participants: During live Summit events, recorded images, video, and audio may be taken in which you may be included, and you agree and understand that these images, videos, and audio may be used by ANCA for promotional purposes in print, video, and on the Internet. Plenary Sessions and the Tuesday Workshops will be recorded, the Facilitated Discussions and Open Space will not be recorded.
Some areas of the Summit platform allow you to provide content (in chat areas, forums, associated social media pages, etc.) By posting, uploading, publishing, distributing, or transmitting information such as photos, videos, reviews, messages, content, or other personal information on the Summit platform or other ANCA-sponsored forums, blogs, or other communities, you represent and warrant that you are the sole author and owner of such content, and you further represent and warrant that you have permission from anyone included in any photos or videos, or if a child, you have permission from the child’s parent or guardian.
The open exchange of ideas and the freedom of thought and expression are central to the aims and goals of ANCA; these require an environment that recognizes the inherent worth of every person and group, that fosters dignity, understanding, and mutual respect, and that embraces diversity. For these reasons, ANCA is dedicated to providing a harassment-free Summit experience. Summit participants violating these standards may be asked to leave, at the discretion of the ANCA Board and Summit organizers.
Cancellation Policy
You are required to remit the Summit registration fee(s) within 5 business days from the day you register. If you do not remit payment within 5 business days, understand that ANCA may cancel your registration. After ANCA cancels your registration due to non-payment, you will have to re-register. All registrations made after September 6 must remit payment immediately. All requests for refunds must be submitted to by September 7. There will be a $25 cancellation fee for all refunds.
Payment Options
After submitting your form, please allow up to 2 business days to receive your invoice through email. Contact with any question.
Pay by Check
Make check payable to ANCA. Mail to: ANCA Office PO Box 464 Logan, UT 84323. Include a copy of your confirmation email and invoice.
Pay through Square
If you are paying through Square, you will receive a separate invoice. The invoice is payable online at your convenience. Please contact with any questions.
Don't Forget To Hit Submit!