Registration closes September 15th, 2008
If more than one staff member from an agency attends, the second registration, and all others after that, will be discounted $50.
The first registration from an agency that has never attended will receive a 10% discount.

You are not considered registered until you pay in full

REGISTRATION FORM

*required
Your Information

Full Name*
Title
Company
Address*
Apt/Suite
City*
State*
Zip Code*
Work Phone*
Home Phone
Fax
Email Address*

REGISTRATION DETAILS

First time attending an APNA Conference? Yes No

How many people will be attending?
Members
Non Members

Discount Deadline September 15!

Member - through 9/15/08: $350/person* after 9/15/08 $450/person*
Non-Member - through 9/15/08: $395/person* after 9/15/08 $500/person*

Day Rate (Friday or Saturday only)

Cost For Members:
through 9/15/08: $200/person*; after 9/15/08 $250/person*

Cost For Non-Members:
through 9/15/08: $250/person*; after 9/15/08 $300/person*

Thursday evening Welcome Reception (included in full conference fee) $100

Guest 1: Information 

Full Name
Title
Email Address

Guest 2: Information 

Full Name
Title
Email Address

Guest 3: Information 

Full Name
Title
Email Address

Guest 4: Information 

Full Name
Title
Email Address

Conference Fees Include: Breakfast & Lunch Friday - Saturday, welcome bag, conference program, Thursday evening reception with hors d’oeuvres & no-host bar
Day Fees Include: Breakfast & Lunch, conference program and welcome bag.