First Name:		Last Name:
Title:
Company:
Work Address:
City:
State:		Zip Code:
Work Phone:		FAX:
E-mail:
Comments:

Special Meal Request: No Special Request Vegetarian Plate Fruit Plate
Registration Type: Registration Fee Member (Early) - $425Registration Fee Non-Member (Early) - $575*Sponsoring Vendor - FREEStudent Price - $150**In Transition Price - $150**
* Non Member rate includes SCAFP membership for the remainder of the year, which allows free attendance at our regular luncheons and webinars for the remainder of 2011
** Students need to send a copy of their school id with their registration in order to be eligible for student price.

 Group Rate: 5 or more employees of the same firm registering as a group, each member of the group will be accorded the Member rate.
I am registering with a group of 5 or more

Name 1	Name 2	Name 3	Name 4

Payment Type: Please Select... Credit Card Check
Credit Card Type: American Express Visa Mastercard
Credit Card Holder's Name:
Credit Card #:
Credit Card Expiration Date: Month...010203040506070809101112 Year... 2012 2013 2014 2015 2016 2017 2018 2019 2020
CC V-Code:
CC Street Address:
CC Zip:
Cancellations must be received in writing by April 7, 2012. Cancellations received by this date will be subject to a $75 cancellation charge.

Registrations received after April 7, 2012 do not qualify for any refund.

Substitutions are permitted.

NO SHOWS are liable for entire conference fee.