First
Last
E-mail (Invoice will be sent
to this address.)
Job Title
CPRP?
CTRS? Note that your
name, job title, and organization will be printed on your badge as
typed.
Organization
Daytime Phone
REGISTRATION PACKAGE:
Address
See options below.
FULL PACKAGE REGISTRATION: Includes educational
sessions, the opening social, the exhibit hall social, all breaks, and
the MRPA Awards Banquet.
By Aug27th
After Aug27th
MRPA Professional
Member* ....................................... $ 236.00
(includes CEUs & golf) $ 256.00
MRPA Student
Member.................................................$ 96.00....................................
$ 96.00
Citizen Board
Member...................................................$
96.00.................................... $ 111.00
Non-Member Professional*
........................................... $ 256.00 (includes CEUs
& golf) $ 276.00
Non-Member
Student.....................................................$
111.00................................... $ 111.00
Non-Member registration comes with a complimentary one-year
membership! * CEU credits
fees are included in professional registration.
DAILY PROFESSIONAL PACKAGE: ONLY INCLUDES CEUs.
Daily registrants will pay an additional fee if they wish to attend
social events and other meal functions.
Tuesday, September 22
.............................................. $ 96.00* .................................
$116.00
Wednesday, September 23 ..........................................$
96.00*
................................. $116.00
Thursday, September 24 ............................................. $
46.00*
................................. $ 56.00
SPOUSE/GUEST/DAILY AWARDS BANQUET TICKETS:
Wednesday Awards
Banquet ....................................... $ 35.00 each. Number
of Tickets
Please note
that full package registration includes your awards banquet ticket.
GOLF TOURNAMENT& All-Conference Social:
All-Conference Social ......................................Handicap
Check if you will be attending the social. Include a handicap if you'd
like to enter the tournament.
CHEMICAL
APPLICATION CERTIFICATION:
Check here if you
wish to attend. There is an additional $15 fee for full package professional member or
non-member registrants and the fee is increased to $50 for daily
package registrants.
SPECIAL ACCOMMODATIONS:
If you require
special services in order to fully participate, please provide a
written description (i.e., special diet, wheelchair transportation).
Advance notification is required.
