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Group Registration: ALL participants MUST complete a form with Contact Information filled out. Only ONE payment is needed. Registrati on Form Conference Name: 2019 Administra e Professionals Conference Conference Dates: April 24 & 25, 2019 Conference Loca : Chito Samanieg El s X Company: Address: City: State/Province: Zip/Postal Code: SELE DA E A ENDING: WEDNESDAY, April 24, 2019 THURSDAY, April 25, 2019 hec payable to: i e Direc Credit Card American Express Mastercard Visa Card Number: Expira ate: Cardholder Name: CSV #: Billing ip Code: WAYS O REGIS ER: Register ONLINE at www.apcsouthwest.com By ax: 15.533.0828 By ail: Posi e Direc s Co. 814 ming Avenue El , X 02 PLEASE NO E: YOU ARE N REGIS ERED UN IL PAYMEN IS RECEIVED 814 Wyoming Ave. El Paso, TX 79902 Phone: 915-838-1000 Fax: 915-533-0828 www.apcsouthwest.com Total: $945.00 Please choose an option Five Person Form Invoice No.: ________________________ Date:______________________________ PO No.:_____________________________________ Terms: _____________________________________ Vendor No.: _________________________________ Due Upon Receipt : ALL par ipants MUS complete a form with Group Registr Contact Inform ed out. ly NE payment is needed REGIS RA ION FEES: Register and Pay by April 14th to secure discounted rate! Aſter April 14th the rate is $259.00 per person $199 Early-Bird Registraon- Save $60.00 (One Person) Group Pricing r 5 or 10 Par cipants Valid hrough Event Date $189 per person when you buy 5 (total $945) - Save $350 (We must have 5 names, one payment) $179 per person when you buy 10 (total $1790) - Save $800 (We must have 10 names, one payment) All Sales Final
