Conference Registration

"Surviving in a Changing World"
MICHIGAN CHAPTER OF APCO - FALL CONFERENCE
KETTUNEN  CENTER

September 28, 29, & 30th, 2005
Wednesday Registration 3PM-7PM, 
Hot Food & Cold Refreshments Followed by Opening Ceremony 7PM

PRINTABLE FALL REGISTRATION FORM

Please Print Your Name As You Would Like It To Appear On Your Name Tag & Certificate:

NAME:                                                                                                                                          

AGENCY:                                                                                                                                       

ADDRESS:                                                                                                                                    

PHONE:                                                                                                                                          

Provide Email Address for registration confirmation:                                                           

SEX: M or  F (Circle one for lodging)                                Do You have a roommate selected?  Y  N

ONLY 2 PEOPLE PER ROOM UNLESS SPECIAL REQUEST!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Name of Roommate:                                                                                                                           

Do you have ANY special needs:                                                                               

      Check plan:

 

Full Conference Registration - Plan A
2 Nights Lodging, 5 Meals, Registration, Door Prizes, Exhibits

Non-Member $210

Members $180
APCO Membership #

 

 

Commuter Plan  - Plan B
No lodging, 5 Meals
Registration, Door Prizes, Exhibits

Non-Members $160

Members $135
APCO Membership #

 

 

Thursday Day Pass -  Plan C
Lunch on Thursday
Registration, Door Prizes, Exhibits

Non-Members $55

Members $50
APCO Membership #

 

 Membership discount must include membership number.

Payment must accompany your registration. Sorry, we do not accept credit cards, and we do not mail invoices. Registrations received without payment will not be processed, and will be returned. Registration deadline is 9/16/05. A full refund will be given for cancellations received by 9/16/05.

TAX ID # 38-2288939

Make check payable to:      APCO - MICHIGAN CHAPTER

Mail to:     CHRISTINA RUSSELL
                                                                   Oakland County Sheriff's Dept.
                                                                   1201 N Telegraph Road
                                                                   Pontiac,   MI   48341 

Registration/Lodging questions contact Christina Russell at 248-858-1645.
Conference questions contact Carrie Perialas at cperialas@voyager.net, or Kim Ostin at markim42@hotmail.com 
Vendor questions contact Lloyd Fayling at 810-732-4720.

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