Conference Registration Form Page 2

Your name:____________________________
 

           Cancellations received by February 13, 2005, will be refunded, less a $75 service fee. No refunds will be made for cancellations received after February 13, but paid no-shows will receive all registration materials. Substitutions are permitted with advance notice.

  *Basic registration includes admission to all sessions, exhibits, receptions, conference materials, daily continental breakfasts, lunches, Closing Banquet, and welcome tote bag.
  **Exhibit fee includes 1 reserved skirted 6’x30” table with chair in Marketplace, 1 item stuffed in 200 tote bags, admission to all sessions, conference materials, daily continental breakfasts, lunches, Closing Banquet, and welcome tote bag. 

             EXHIBITORS MUST SIGN AND SUBMIT AN APPLICATION FOR EXHIBIT SPACE ALONG WITH THIS REGISTRATION FORM AND PAYMENT. The form can be printed from http://amppr.org/mpc43exhibitor.htm.
Shipping and Tote Bag Instructions, Click here.
Send payment and registration form to: 
The Conference Group, Inc. 
1580 Fishinger Rd, Columbus, OH 43221
Phones: 800-783-6338 or 614-488-2030
Fax: 614-488-5747 
E-mail: register@confgroupinc.com
Make check payable to The Conference Group, Inc., FEID #31-1157243, c/o AMPPR Conference.

 
___ Check  ___ American Express ___ Diners  ___ Discover  ___ MasterCard  ___Visa
Credit Card #  Expiration Date
Name Imprinted on Card
Signature of Cardholder Date
CONFERENCE FEES
Registration Period
First Registrant 
from station/org
Additional 
Registrants*
from station/org
Regular Registration Oct. 1 – Jan. 10
$325
$275
Late Registration Jan. 10 – Onsite
$425
$375
Announcer Workshop Only
$200
$150
Announcer Workshop and Conference
$450
$400
Regular Exhibitor Registration Oct. 1 – Jan. 10
$475
$275
Late Exhibitor Registration Jan. 10 – Onsite
$575
$375
* To qualify for discount, all registrations and fees from the same station/organization 
must be sent together.
09/04
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