Registration
Form
AMPPR
Music Personnel Conference
February
21-24, 2005, Las Vegas, Nevada
Page
1 of 2
One
registrant per form
| Last Name |
| First Name |
| Title |
| Station or
Organization |
| Business Address |
| City |
| State/Province |
| Postal Code/Country |
| Phone |
| Fax |
| E-mail |
| Dietary/Special
Needs Request |
| xxxx |
| [
] Yes, I’m interested in participating in the MPC Golf
Tournament |
|
EVENT (Fee Schedule
on Page 2)
|
Amount
|
| Conference
Registration* |
$ |
| Exhibitor
Registration** |
$ |
| Announcer
Workshop only |
$ |
| Announcer
Workshop & Conference |
$ |
| Tote Bag stuffing
fee, $50 per item |
$ |
AMPPR Membership
(Feb. 2005 – Jan. 2006)
***New
for 2005***
All individuals registering and/or exhibiting
at the Conference
must include $75 for the AMPPR Membership. |
$
75.00 |
| TOTAL Fees |
$ |
SPOUSE/GUEST (NOT
REGISTERED FOR CONFERENCE) MEAL TICKETS
|
Meals
|
#
of
Tickets
|
Total
|
| Monday Night
Opening Reception ($30) |
# |
$ |
| Tuesday Breakfast
($20) |
# |
$ |
| Tuesday Luncheon
($20) |
# |
$ |
| Wednesday
Breakfast ($20) |
# |
$ |
| Wednesday
Luncheon ($20) |
# |
$ |
| Thursday Breakfast
($20) |
# |
$ |
| Thursday Luncheon
($20) |
# |
$ |
| Closing Banquet
($35) |
# |
$ |
| TOTAL
Spouse/Guest Meals |
# |
$ |
| Registration
& Spouse/Guest Meals GRAND TOTAL |
# |
$ |
|
