Annual Joint Meeting
FLORIDA DELEGATION
REGULAR REGISTRATION PACKET REQUEST FORM


40 Annual Joint Meeting

Name*:    
Title*:     
Organization*:     
Email*:    
Phone*:    
Fax*:     
Address*:  

PLEASE NOTE:
1. This is NOT a registration form. All delegates must request and complete a full registration form to submit along with registration fees payment to complete the registration process.

2. Early bird registration ends September 15, 2017; thereafter registration fees increase to the regular non- discounted rate until regular registration closes October 6, 2017.

A full registration and informational packet will be sent to you via the e-mail address you provided above.

 

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