APSA 2024 CONFERENCE REGISTRATION FORM

OCTOBER 26, 2024 at Perimeter83 auditorium at University of Advancing Technology


APSA will offer 10 hours of Continuing Education to attendees. The Annual Meeting and election of officers will be held during the lunch break on Saturday, October 26, 2024. All members are welcome to attend and vote, whether attending the Conference or not. Meals and bottled water will be provided. Refreshments are available for purchase at the student cafeteria adjacent to the classroom. Conference attendees may renew their 2025 dues with their registration

Name:
Company Name:
Addr #1:
Addr #2:
Zip:
State:
County:
City:

Phone:
Office:
Cell:
License #
Email:
MEAL OPTIONS [YOU MUST PICK ONE]*

SUBTOTAL $199

OPTIONAL
$59
$135

Total Amount:

Payment Method: