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CSAP Fall Conference Registration

Name

Address

City State Zip

Phone                Email

State Association Office Held

Term Expires:

Will Your State Donate a Gift for Sweeps? Yes No

Is this your first CSAP meeting? Yes No

Attending the Wednesday Happy Hour? Yes No

Special dietary needs (e.g., vegetarian/food allergies)

Emergency Contact (name and telephone number)

Registration Fees: Select all that apply.
Early registration rates were only available until October 15, 2017. After October 15, late fees apply.

CSAP Member/Presenter - $325
Management Staff - $275
CSAP Sweeps Tickets (50) - $30 (Advance Purchase)
Happy Hour - Guest/Alumni Ticket $10

Total Payment

Payment Method

VISA MasterCard Discover American Express

Credit Card Number

Expiration Date Month Year

Questions:  Contact the CSAP Office at csap@robertcraven.com or 855-727-2836.