7th Annual PAA Convention
Registration Form

Name: ______________________________________________________________________________

Address: ____________________________________________________________________________

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Phone: (Home) ___________________________ (Office) ____________________________________

Email:_______________________________________________________________________________

Special Needs: ________________________________________________________________________

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Convention Fees – Both Days: Sept. 15-16, 2000

Before 9/4/2000 On-Site
PAA Member* $150 $180
Non-member* $200 $230
Student* $70 $70
Social Fee** $80 $80

*Includes all meetings, meals, banquet, and exhibits.
**Includes all meals, banquet, and exhibits.

Please indicate if you plan to attend the banquet:     Yes       No

 

Convention Fees - Single Day

On-site Only

PAA Member $110
Non-member $160
Student $50

One week notice prior to convention is required to ensure registration refund, less $25.

Return Registration Form and Payment to:
Susan Parr, M.S., PAA Treasurer
2211 Autumn Wood Drive
Huntingdon, PA 16652

For Convention Information, Contact:
Sherman Lord, M.S., F.A.A.A.
220 Green Bank Way
Harleysville, PA 19438
Tel: (610) 325-7600, ext. 107, Fax: (215) 855-7107
Email: slord@prodigy.net