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2012 APOA Conference

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REGISTER HERE

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2012 APOA Conference Registration Form

Welcome to the REGISTER HERE page for the APOA Conference. We invite you to complete the simple entry registration form below. Please note if you are paying by credit card, your card will be processed within 1-2 business days and you will receive a receipt via the email address that you enter in on the registration form. The charge on your statement will show up as Creativation Events, which is the conference management company. If you have any questions or comments regarding registration, please contact:

Melissa McCormick, Creativation Events at (907) 321-3094 or email creativation@ak.net.

If you prefer to print and fax your registration form in, you can fax to: (907) 523-1320. To mail your registration and check/PO:

Creativation Events - APOA

4335 Manor Avenue

Juneau, AK 99801

Don't forget to purchase your travel on Alaska Airlines and receive your 5% discount! If you have your confirmation code please have it handy to enter in below. 

If you have other comments or need the conference planning committee to know any details about your stay please add them in the "Additional Comments" section on the registration form. If you know ahead of time which classes that you plan to participate in, please also add them in the comments section so that we can accomodate as many delegates as possible in the courses they want to attend.

Thank you and we look forward to seeing you at the conference!
First Name
Last Name
Title
Company Name
Address Line 1
Address Line 2
City
State
Zip Code
Daytime Phone() -
Evening Phone() -
Fax() -
E-mail Address
APOA Member? Yes/No
Vendor/Speaker/Delegate
Full Conference Registration $250 for APOA Members through 5/1/12
NEW APOA Member Full Conference Registration (must complete form) $285
Late Registration for APOA Members after 5/1/12 $300.00
Full Conference Non-Member Registration $350
Single Day Registration $79 (does not include meals)
Are you registering more than 8 people for a single day registration?
Lunch only (indicate which day) $25.00
Banquet Dinner at Orca Point Lodge $50.00
Lie Detection Course for General Public (Friday morning) $50.00
Vendor Registration $300.00
Vendor Registration (for those who choose to bring their own supplies and a door prize with a value of $200) $150.00
Spouse or Guest Name
Spouse or Guest will be attending the following events/activities (please list days and event prices):
Total Registration Fees
Payment Method (VISA, MC, AMEX, PO or check written to APOA)
Name of card holder
Credit Card Number
Expiration Date on Card
Security Code (on the back of your card)
Billing Address for Credit Card
Zip Code for Credit Card
Total Amount to be charged on your credit card $
Will you be attending the Welcome Reception at the Goldbelt on Monday evening? Y/N
Will you be attending the Toughest Cop event on Tuesday evening? Y/N
Will you be attending the banquet on Thursday evening at Orca Point Lodge?
Do you have any food allergies or prefer a vegetarian meal choice for any of the meals?
Which hotel will you be at during your stay in Juneau?
Did you use the Alaska Airlines 5% discount code from the Travel/Lodging page? Y/N
Please enter your AK Airlines confirmation code
Do you need handicap assistance or have other special needs for the conference? Please explain.
Additional Comments?

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