Conference Registration
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Name:
________________________________
Spouse (If Attending):
________________________________
Organization:
________________________________
Title:
________________________________
Address: _________________________
City: __________ State: ___ Zip: ____
Day Telephone:
________________________________
Email:
________________________________
Any Special Needs:
________________________________
The Conference Registration Fee includes the luncheons on Wednesday and Thursday and breakfast on Friday. Along with all scheduled breaks and the Conference Informational Packet.
Full Conference Fee
Registration = $150
One Day Conference Fee
Registration = $75
Student Rates
Registration = $50
Total Fee =
$ ______________________________
Please return the completed Registration & Invoice Form with the appropriate fees due to:
ACME Show
P.O. Box 12345
Anywhere, FL 33036
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