2008 Annual Conference Online Registration Form
September 21,22,23, 2008

Double Tree Grand
1717 North Bayshore Drive
Miami, Florida, 33132-1180
305-372-0313

Registration Information
Early Registration - $175.00 per person for pre-registration
$125.00 for 2nd person from a company/or guest
Registration - $250.00 (at door)

Please fill out the registration form and send to us by clicking the submit button below:



E-mail Address:
Full Name:
Address:
City:
State, Zip:
Telephone Number:
Company Name :
Chapter:
No. of Attendees:
Payment Type:
Amount Due:
Credit Card Number :
Exp. Date:
Name on Card:
3 Digit Code:
Billing Address:

Questions or Comments: