Register for the BCTIM Conference

We hope to see you on Thursday, October 8, 2015 at BCTIM’s Industry Conference themed “Supply Chains: Disrupted.” The event will be held in Emerson Auditorium, Knight Hall, on the campus of Washington University in St. Louis. Please complete the registration form below by October 2nd to confirm your attendance at this event.

Every conference registrant will receive a conference letter and campus parking day pass for Millbrook Parking Garage (located next to Knight Hall). For questions or comments, please contact Andy Sample at 314-935-5577 or

Personal Information

Items marked with an asterisk * are required.
* First Name
* Last Name
Preferred Name On Badge
Title / Position / Degree
* Phone (xxx-xxx-xxxx)
* Email
* Address
* City
* State  
* Zip Code
Assistant Name  
Assistant Email  
Will you attend lunch?