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REGISTRATION FORM
AMRA/MAP Annual Meeting 2008

(Optional)

Download the registration form in PDF format

How to register:

You may pay by PayPal.

You do not need to fill out the form below if you are using PayPal. If using PayPal, you will enter in your information after verifying your order is correct.
You may print this form (use the "Print" button in your browser) and fax it to 202-318-0378.
You can also print this form and mail it in with your payment to:
MAP
7910 Woodmont Ave, Suite 760
Bethesda, MD 20814
Make checks payable to MAP/AMRA.

Please register me for the AMRA/MAP Spring 2008 Meeting:

Name:

Title:

Company Name:

Address:

Address 2:

City:

State Zip

Phone:

Fax:

Email:

No of Attendees:

(Use one reg. form per attendee)

Meeting Registration Rate:

Meeting Registration: Members $50

Non-Members $75

Members With
Networking Dinner $105

Non-Members With
Networking Dinner $155

Payment type:

Check
VISA
American Express
MC
Exp. Date

Name as it appears on credit card:

Card Number:

Signature: