Texas Department of Public Safety
Motorcycle/ATV Safety Unit

2017 Texas Motorcycle Safety Conference

WHEN: APRIL 7 - 8, 2017
April 7th, 6PM - 8PM, Early Check-in and Meet & Greet
April 8th, 9AM - 5PM, Conference

WHERE: CROWNE PLAZA HOTEL
6121 IH 35
Austin 78752

COST: $68 per person if payment received by March 10th or
$100 per person onsite
Onsite payments will be accepted on April 7th 6PM - 8PM and
April 8th 7AM - 9AM

Registration Form

Name:
Organization:
MSF/ASI - Enter Sponsor RERP# or MSF/ASI Instructor# NON MSF/ASI - ENTER NAME OF COMPANY IF APPLICABLE GUEST - ENTER GUEST OF "NAME"
Phone Number:	(XXX-XXX-XXXX)
Email Address:

SEND CHECK OR MONEY ORDER TO:
TXDPS/MSU
ATTN: CONFERENCE REGISTRATION
5805 NORTH LAMAR BLVD
AUSTIN, TX 78752‐0257

NOTE: REGISTRATION CONFIRMATION WILL BE SENT WHEN PAYMENT IS RECEIVED.

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After you click submit, you will be redirect to Motorcycle/ATV Safety Unit homepage.