Music Personnel Conference Registration Form

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Last Name
First Name
Title
Station or Organization
Business Address
City
State/Province
Postal Code/Country
Phone
Fax
E-mail 
Dietary/Special Needs Request
One registrant per form; Registration cannot be split between two or more participants.

  Attendee Registration Fees (registration fees include $30 AMPPR membership fee):

Early Bird Conference Fee (if payment is received by January 12, 2001)* $310   $______ 
Late Conference Fee (if payment is received after January 12, 2001)   375     ______
Early Bird Exhibitor Fee (if payment is received by January 12, 2001)*   395     ______
Late Exhibitor Fee (if payment is received after January 12, 2001)   460     ______
—Includes 1 tabletop in Marketplace, 1 conference registration, 
                    and complimentary stuffing of 1 item in tote bags
Closing Banquet Ticket     15     ______
Guest Fees: 
Closing Banquet Ticket per guest     35    ______
Opening Reception Ticket     30    ______
Breakfast ticket per meal ___x $9     ______
Lunch ticket per meal ___x $20    ______
Please indicate which meal or meals_____________________________________
Miscellaneous Fees:
Tote Bag Stuffing Fee (per item). See detailed instructions below.     35    ______
AMPPR Membership Fee, to be paid only if not attending the conference     30    ______
                       Total Enclosed: $ ______

*Early Bird registrants will be entered in a drawing for a pair of tickets to the Old Tucson Studios.
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