AMERICAN PUBLIC TRANSPORTATION ASSOCIATION
2015 Transit Board Members
and Board Support Seminar
Denver, CO
July 18 - 21, 2015
MEETING REGISTRATION FORM
Board Member Registration: Your fee for the entire 2015 Transit Board Members Seminar is $745 per person if payment is received by APTA on or before June 19, 2015. After June 19th the registration fee is $795 per person.
Board Support Registration: Your fee for the entire 2015 Board Support Seminar is $645 per person if payment is received by APTA on or before June 19, 2015. After June 19th the registration fee is $695 per person.
Important Dates:
Early fee ends – June 19, 2015
Pre-Registration ends – July 13, 2015
Refund deadline – June 26, 2015
Registration fees will be refunded if a request is received in writing and post-marked no later than June 26, 2015. A 20% cancellation fee will be withheld. There will be no refunds after the June 26 deadline. In the event of a serious illness or emergency, you may qualify to have the registration fee, minus the 20% processing fee, applied to a future meeting (must be used within one year). You may transfer your registration fee at any time without penalty to another person in your organization attending the 2015 Transit Board Members and Board Support Seminar.
Open to APTA operating Transit System Members only. To become a member call APTA's Membership Department 202-496-4800 for details.
To Register Online: Access the 2015 Transit Board Members & Board Support Seminar through www.apta.com.
PAYMENTPlease fill in this section. Enclose appropriate fee made payable to APTA. Registrations cannot be processed without payment.
Board Members: $745 per person (on or before 6/19/15) $795 per person (after 6/19/15)
Board Support: $645 per person (on or before 6/19/15) $695 per person (after 6/19/15)
Guest Fee: $125 per person (includes Welcome Reception, closing lunch and transit pass)
Guest Welcome Reception only : $50 per person
Check payments only
When registering please indicate the size of the system you represent
Small System: 100 or fewer buses/vehicles
Medium: 101 – 500 buses/vehicles
Large/Multi-modal: over 500 vehicles
BADGE INFORMATION
NOTE: Please complete registrant badge information carefully to avoid incomplete/incorrect information. Attach additional list if necessary.
1.______
Name ______
Nickname ______
Title ______
Company ______
Address ______
City, State, Zip ______
Tel
______
E-mail ______
Spouse/Guest (if attending) (not applicable to fellow employees) / 2.______
Name ______
Nickname ______
Title ______
Company ______
Address ______
City, State, Zip ______
Tel
______
E-mail ______
Spouse/Guest (if attending) (not applicable to fellow employees)
SUBMITTED BY
Name______Company______
Address______City/State/Zip______
email______Tel______
Please indicate if you have any disability for which you will require special accommodations:______
______