registration form

FPPA 18th Annual Conference
REGISTER NOW!
April 27-29, 2015 ~ Naples Grande Beach Resort ~ Naples, Florida
Please read these instructions carefully before filling out the registration form on the reverse side.
“How to Be Creative,
Faster, AND
Profitable!
Register Early &
Save Money!
Early Bird Registration
must be made by
April 10, 2015
Cancellation Policy
All cancelled registrations
submitted in writing prior to
April 10, 2015 will be
refunded after May 1, 2015
minus a $75 processing fee for
each delegate. There is no
refund for cancellations after
April 17, 2015
All registrations must be
postmarked or time-stamped
by April 10, 2015 in order to
avoid the $50 late charge.
� Disability:
If you have a disability or
dietary need and require
special accommodation in
order to fully participate in
this event, please check the
box above and attach a written
description of needs. We can
only provide access if we have
prior knowledge.
Important! Please neatly print or type all information. Your badge will
be printed using the supplied information. All conference materials
can be picked up at the registration desk upon your arrival. Keep a
copy of both sides for your records. Completed registration forms
may be mailed, faxed, or emailed to FPPA headquarters at any time.
All conference costs must be paid in full prior to the meeting.
Delegate and Non-member Registration Fee includes:
• All Business Sessions
• Supplier Presentations
• Keynote Sessions
• Printed Program and All Conference Materials
• Monday Welcome Reception
• Tuesday Breakfast, Lunch, and Refreshment Breaks
• Tuesday Evening President’s Banquet
• Wednesday Breakfast
Guest/Spouse Registration Fee includes:
• Conference Materials
• Monday Welcome Reception
• Tuesday Breakfast
• Tuesday Evening President’s Banquet
• Wednesday Breakfast
New this year!
FPPA’s 18th Annual Conference will be held in conjunction with the
AICC 2015 Spring Meeting! This event will also celebrate AICC’s
40th Anniversary. FPPA attendees will be offered a special rate to
participate in the AICC Opening Night Reception on Wednesday,
April 29, 2015. Please note your interest in attending on the form on
the reverse side.
FPPA members interested in attending the entire AICC Spring
Meeting may be eligible for discounted registration. Contact FPPA
Headquarters for more information!
Hotel Reservations:
The planners at FPPA have secured a group rate of $279.00
single/double occupancy. You are responsible for making your own
hotel reservations. To receive the discount rate, call the Naples
Grande Beach Resort, +1 (855) 923-7436 and reference FPPA. Make
your reservations early since the deadline to receive the group
discounted rate is April 3, 2015.
FPPA 18th Annual Conference
REGISTER NOW!
April 27-29, 2015 ~ Naples Grande Beach Resort ~ Naples, Florida
Please carefully read instructions on reverse side before filling out this form.
Company _________________________________________________________________________________
Address __________________________________________________________________________________
City, State, Zip (Country) ____________________________________________________________________
Phone ________________________________________ Email (for receipt) __________________________
Name
Email
Cell (emergency
use only)
First
Time?
Yes or
No
Delegate 1
Guest 1
Emergency
Contact
Delegate 2
Guest 2
Emergency
Contact
Delegate 3
Guest 3
Emergency
Contact
REGISTRATION FEES:
FPPA
Member
Registration
(first 2
attendees)
$795
FPPA
Member
Registration
(3rd+
attendees)
$595
Non-member
Spouse
Table AICC Late Fee
Registration Registration
Top
Dinner
(after
$995
$200
Display $150 4/10/15)
$300
$50
Total
Fees
Delegate
Spouse/Guest
Total Due
PAYMENT INFORMATION:
 Check (payable to FPPA)
Card #
 VISA/MasterCard
 American Express
Expiration Date:
Billing Address:
Name on Card
Return payment & completed form to FPPA at:
9 Newport Drive, Ste 200, Forest Hill, MD 21050
Signature:
Fax: 443-640-1031 or e-mail: [email protected]