Convention 2006 — Registration
The registration fee includes all scheduled activities, workshops, conference materials, food functions, and a convention gift. Please note: you must be a fully-paid delegate or fully-paid spouse/partner to participate in Convention general sessions and workshops.
A WPPA member may register for one day – either Saturday or Sunday – at a reduced fee of $70. The one-day fee covers all activities for that one day, but does not include the Convention gift.
Local: ______________
Total Number of Members in Local: ______________
Number of Authorized Voting Delegates: ______________
(One delegate per 15 members or fraction thereof, maximum of
10.)
Name of Contact Person: __________________________________________
Daytime Telephone: ___________________________
| Designation: | ||
| Voting Delegate | (D) | $130.00 |
| Alternate Delegate | (A) | $130.00 |
| Non-Voting Delegate | (N) | $130.00 |
| WPPA Member Spouse/Partner | (MS) | $130.00 |
| Lunch | (L) | $15.00 |
| Banquet | (B) | $30.00 |
(Please designate all registrants using the codes listed above. An “alternate delegate” is one who is authorized to vote in the absence of a voting delegate. Any delegate not authorized to vote would be a “non-voting” delegate.)
Last Name: __________________________________________
First Name: __________________________________________
Designation: __________________________________________
One-Day (Saturday or Sunday): __________________________________________
Banquet Choice: __________________________________________
Cost: __________________________________________
Total Prepaid Registration Fees $__________
(Make checks payable to: WPPA)
__ Check here if this is the first time you have ever attended a WPPA Convention.
__ Check here if you plan to give blood at the WPPA-Sponsored American Red Cross Blood Drive on Saturday, May 20, 2006.
__ Check here if you are pre-registering children for Convention Child Care.
Registration/Cancellation Policy: All registration fees are due at time of registration. Refunds requested up to and including May 15 will be assessed a $25 processing fee. After May 15, fees are transferable but non-refundable.
Register by May 1 and be eligible for the Early-Bird Drawing! Only fully-paid registrations ($130) postmarked by May 1, 2006 are eligible. You do not have to be present to win.
Additional drawings will be held for all other gifts. To qualify, you must turn in your fully-paid delegate or fully-paid spouse/partner name badge at the closing session on Monday morning, May 22. You must be present to win.
Mail registration form and check to:
WPPA Convention
340 Coyier Ln.
Madison, WI 53713
Questions? Call 608-273-3840 or 800-362-8838.
