Philadelphia Conference Registration Form

 

Conference Dates:  May 17 - 18, 2002

Registration Fee: Members: $179 per person 
                              Non-Members: $199.00 per person

Pre-registration Deadline:  May 3, 2002

*Registration after May 3, 2002 will be accepted at the door if space is available. An additional $25 will be charged for late registration.  If you are planning to register at the door, please send an email to [email protected] or call (904)743-4300.

Cancellation policy: All cancellations must be made in advance. If registration is cancelled prior to May 3, the registration fee will be refunded minus a $25 cancellation fee.             

NO REFUNDS WILL BE MADE AFTER DEADLINE.

Name: _____________________________________________________________________

Address: ___________________________________________________________________

City: ____________________________________State/Zip: __________________________

Phone:  ______________________________ Fax:  _________________________________

Email: _____________________________________________________________________

No. of Members Attending:         ___________ X $179.00 = $___________
No. of Non-Members Attending: ___________ X $199.00 = $___________
TOTAL Amount Due:.............................................................$___________


Please make check or money order payable to the NCAPD and mail to:
                      NCAPD
                      Philadelphia Conference
                      P.O. Box 11810
                     Jacksonville, Fl 32239-1810