AEA - Annual Meeting & Conference

Personal Information

• * First Name:
• * Last Name:
• Title
• * Email Address:
• * Confirm Email Address:
• License Number

• Fee

  Type	Fee
  Plan A: Full Conference	$435.00
  Plan A: Full Conference (Nonmember)	$575.00
  Plan B: Tuesday ONLY (reception)	$135.00
  Plan B: Tuesday ONLY (Nonmember)	$275.00
  Plan C: Full Conference/Spouse	$125.00
  Plan C: Full Conference Spouse (Nonmember)	$250.00
  Plan D: Tuesday ONLY/Spouse	$95.00
  Plan D: Tuesday ONLY/Spouse (Nonmember)	$220.00
  Plan E: Wednesday ONLY/Spouse	$75.00
  Plan E: Wednesday ONLY/Spouse (Nonmember)	$195.00
  Plan F: Wednesday ONLY (Member)	$275.00
  EPDA Enrollees	No Charge
  Comp (life member, speaker)	No Charge
  Comp (if included with sponsorship)	No Charge

Participant Information

You may add a maximum of 15

Business Information

• * Company: