FAPTSUMMER CONFERENCE MEMBER REGISTRATION FORM
PALM BEACH MARRIOTT & CONVENTION CENTER
June 25 – June30, 2006
NAME:TITLE:
DISTRICT: / ADDRESS:
CITY: / STATE: / ZIP:
PHONE: / FAX:
EMAIL (required):
Conference registration fee: $150 per member/$25.00 per retiree
Please complete a separate registration form for each person who will be attending the conference. All persons other than outside presenters, spouses/companions, and family members who will be attending all or part of the conference are required to pay the registration fee, even if they are not staying at the conference hotel.
If you are bringing a spouse/companion with you to the conference, please complete and send the Companion Registration form that is enclosed with this packet. Prices for meal and function tickets are indicated on the form.
Each delegate registering for the conference will receive one ticket for both events and one additional guest ticket(if requested) for the Monday Member/Vendor Reception and the Wednesday Banquet, and Pioneer Celebration. Your registration also includes one lunch ticket for the two luncheons that will be available in the vendor area Tuesday and Wednesday. All other tickets must be purchased. Please send the completed forms with your check or purchase order as soon as possible.
EVENT / Tickets included with your registration: / √or X if compguest ticket needed:(one maximum; others must be ordered on spouse/companion registration form)
Member/Vendor RECEPTION –
Mon, June 26, 6:30pm – 8:30pm / 1 delegate ticket included
1 guest ticket complimentary(if requested in next column)
LUNCHEONTuesday in Vendor Area–
Tues, June 27, 11:30am – 1:00pm / 1 lunch ticket included; guest ticket must be ordered on spouse/companion registration / Must order on spouse/companion form
LUNCHEONWednesday in Vendor Area–
Wed, June 28, 12:15pm – 1:45pm / 1 lunch ticket included; guest ticket must be ordered on spouse/companion registration / Must order on spouse/companion form
Member/Vendor BANQUETPIONEERCELEBRATION – Wed, June 28, 6:30pm – ??? / 1 delegate ticket included
1 guest ticket complimentary(if requested in next column)
If you are bringing a spouse/companion or children, please list their name(s) below:
Spouse/Companion: ______
Children: ______
Children: ______
Please be sure to complete the Spouse/Companion registration form which is enclosed with this packet.
We look forward to seeing you in June at the Palm Beach Marriott & Convention Center.
Conference registration fee: $150 per member/$25.00 per retiree
Make checks or purchase order payable to: FAPT
Indicate form of payment below**:
______District Check (prior to conference)
______Purchase Order (payment after conference) PO # ______
______Personal Check (prior to conference)
______Will pay on-site
**In order to properly account for all payments, please mark your check or PO “Sum Conf 06” to reference this event.
Registration forms should be completed and sent to Ms. Diane Bennett, Executive Directorat FAPT, PO Box 1686, Eustis, FL32727-1686, or FAX (352)-483-3775, or you may e-mail your registrations . Participants who register electronically or provide an e-mail address with their registration will receive a confirmation notice.
Deadline for conference pre-registration is May 19, 2006.
Deadline for room reservations at the guaranteed rate is May 22, 2006.