Online Symposium/PA Day Registration

Please provide the following contact information:

 Full Name
Title
Street Address
City
State/Province
Zip/Postal Code
E-mail *** Needed to send you an invoice.

Select any of the following options that apply:

DAPA Member (Full Day)......$90.00
DAPA Member (Half Day).....$60.00
Non-Member (Full Day)........$125.00 ***(see below)
Non-Member (Half Day).........$85.00
Guest/Spouse (Lunch/Golf)....$50.00
Guest/Spouse (Lunch)............$20.00
Student (Full Day)....................$40.00
Student (Half Day)...................$20.00
Kids 13 thru 17........................$10.00
Kids 12 and under......................Free

Please indicate how many children:

*** Includes 3 months free membership

After submitting your form we'll email you an invoice with a link so you can pay thru PayPal.


Revised: 09/19/08