INVOICE #0800
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| Full Name: |
| First name or nickname: used for name tag |
| Title: used for name tag |
| Representing: |
| Address: |
| City: |
| State: |
| Zip Code: |
| Phone: |
| Fax: |
| Email: |
Please check all events you will attend. Any items not checked will be on your own.
Tickets will be issued at the conference.
(Tickets cannot be guaranteed for those who register after August 6, 2008)
Late registration fee applies if postmarked after July 15, 2008. Credit cards, checks, money orders or purchase orders are acceptable. To pay by credit card you must use the on-line registration feature. Only written refund requests will be considered. A $25 processing fee will be deducted from all refunds. No refund requests will be accepted after August 6, 2008.
We cannot guarantee your shirt size will be available however, we will do our best to provide the requested size or the next larger size.
| DESCRIPTION: | COST: | # of attendees |
TOTAL |
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SMSA MEMBERS - Early Registration Fee* |
$170 | $__________ | |
| NON-SMSA MEMBERS - Early Registration Fee | $195 | $__________ | |
| SMSA MEMBERS - Late Registration Fee* | $195 | $__________ | |
| NON-SMSA MEMBERS - Late Registration Fee | $220 | $__________ | |
*SMSA Voting, Corporate, Professional and Supporting Associate Members are allowed up to two discounted conference registrations as a benefit of their membership. SMSA Supporting and Emeritus Associate Members are allowed one discounted conference registration as a benefit of their membership. |
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Friday - Business Meeting Only Lunch |
$10 | $__________ | |
| Friday, Instructor Appreciation - Self | NC | NA | |
| Friday, Instructor Appreciation - Guest | $15 | $__________ | |
| Saturday, Lunch - Self | NC | NA | |
| Saturday, Lunch - Guest | $20 | $__________ | |
| Saturday Evening Event & Dinner - Self | NC | NA | |
| Saturday Evening Event & Dinner - Guest | $25 | $__________ | |
| Sunday, Lunch - Self | NC | NA | |
| Sunday, Lunch - Guest | $20 | $__________ | |
| TOTAL PAYMENT INCLUDED: | $__________ | ||
| TOTAL TO BE INVOICED: | $__________ |
By my signature below, I authorize SMSA to invoice the following for conference registration fees due:
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| Yes, I would like to attend the Professional Development Workshop for: Administrators_______ Instructors/RiderCoaches_______ |
| Name: |
| Title: |
| Email address or phone# |
Don't normally register for the conference until your new fiscal year beginning July 1st???DON'T DELAYRegister now and indicate your request for an invoice for payment of conference registration fees on your registration form. This will enable to you to sign-up early and get scheduled for the PDW sessions.If you would like to submit your conference registration without payment prior to the beginning of the July 1st fiscal year, you must register using this conference registration form and submitting via mail to the SMSA. You will not be able to use the on-line conference registration feature as a credit card is required to complete those transactions.To take advantage of the early registration via invoice, please complete your registration form, including PDW sign-up information, if applicable, and submit to the SMSA. Make sure to indicate on your registration form that an invoice is requested for payment of your registration fees.If you have any questions, please contact the SMSA Business Office as follows:Phone: 303-797-2318 |