REGISTRATION FORM


Mid-Atlantic Chapter Fall Conference

Friday, October 11, 2013

Annual Fall Conference

Doubletree Hotel, 990 Hilton Heights Road, Charlottesville, 22901

Members must login to the website to receive the member price.
  On/before Friday, September 20, 2013  After Friday, September 20, 2013
Members:  $110.00
$120.00
     
Non Members:  $160.00 $160.00
     
*Please Indicate Number of Persons for Each Registration Category.

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Registrant 2

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Registrant 3

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Registrant 4

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Registrant 5

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Registrant 9

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Registrant 10

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Company Information

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‡ The maximum amount of registants per request is 10.

You may send a substitute from your company at no additional charge No refund will be issued with cancellation 7 days or less prior to event

Please only click on the submit registration button ONCE or your credit card will be charged multiple times.

Cancellation Policy :   You may send a substitute from your company at no additional charge No refund will be issued with cancellation 7 days or less prior to event.

Doubletree Hotel Reservation Information
A block of rooms is being held for this event.
$129/night room rate is available until September 11, 2013.

● Phone: 1-434-973-2121 ● Doubletree Hotel – Charlottesville, VA

990 Hilton Heights Road, Charlottesville, VA 22901