IFPAC Summer Summit Registration

IFPAC - PAT Summer Summit 2008 Registration Form Condado Plaza Hotel June 10-12, 2008 San Juan, Puerto Rico
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Last/Family Name: * First Name: * Middle:
Title:	Mr. Mrs. Ms. Dr. Prof.
Organization:*
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Address Location:	Office Home
Phone:
Fax:
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Registration Fee's: Registration DOES NOT INCLUDE Lodging
Registration Early Bird Registration Before May12	2 Day Registration $695.00 US (Before May 12, 2007) 2 Day Registration $795.00 US (After May 12, 2007) 1 Day ( June 11) Registration $375.00 US (Before May 12, 2007) 1 Day ( June 11) Registration $475.00 US (After May 12, 2007) 1 Day ( June 12) Registration $375.00 US (Before May 12, 2007) 1 Day ( June 12) Registration $475.00 US (After May 12, 2007) Dinner ( June 10) $75.00 US (Before May 12, 2007) Note: June 10 Dinner Included with a FULL 2-Day Registration Registration includes conference (one or two days), table top exhibits, lunch each day, refreshments, and mixer reception.
Select Payment Method:*	Choose Your Method of Payment. I wish to pay On-Line by Credit Card ( Visa/MasterCard/Discover/American Express) Credit Card Number Visa MasterCard American Express Discover Expiration Date I will FAX in Credit Card Information to the IFPAC Office I will Phone in Credit Card Information to the IFPAC Office I will mail a Check to the IFPAC Office Checks must be in US Dollars drawn on a US Bank For those who wish to Mail the Application Form and Payments Please use the following address: IFPAC 253 Commerce Dr. Suite 103 P.O. Box 7100 Grayslake, IL 60030 Tel: 847-543-6800 Fax: 847-548-1811 email: info@ifpacnet.org
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Cancellations
If you are unable to attend, another person can be substituted, or your registration may be transferred to a future symposium. Some penalties may apply. Notification to be received in writing by 31 May. 2008.

Disclaimer
For unforeseen circumstances, whereby meeting facility is not operating for business, due to acts of God, government authority, disaster, strikes, construction, remodeling or other reasons outside our control, an alternative venue and dates of comparable quality will be confirmed.