Express Registration
REGISTRATION IS EASY!
BY PHONE: Call (615) 599-3950 to reserve your space today or toll-free 1-877-GRAD-911
BY E-MAIL: Simply fill out the registration form below.
(Please complete a regsitration form for each participant.)

1. Enrollment Fee:
$495 Per Person
Group discount: When 4 enroll from your school, a 5th can attend FREE!
2. Please Check A Location & Date:

SAN DIEGO
January 23-24, 2008
Pala Casino Spa & Resort
11154 Highway 76
Pala, California 92059
(877) 725-2766
Group Code: GAPSEMC

 

LAS VEGAS
February 7-8, 2008
Harrah's Las Vegas
3475 Las Vegas Boulevard South
Las Vegas, Nevada 89109
(888) 458-8471
Group Code: SHGAP8

SAN ANTONIO
February 21-22, 2008
Grand Hyatt San Antonio
600 E. Market Street
San Antonio, Texas 78205
(800) 233-1234
Group Code: GAPSEMC

 

ATLANTA
February 27-28, 2008
Sheraton Buckhead Hotel Atlanta
3405 Lenox Road NE
Atlanta, Georgia 30326
(888) 627-9041
Group Code: GAPSEMC
3. Name of Attendee:

*Required Fields

*Full Name:

 *Title:

*School/Dept.:

*Institution:

*Address:

*City:

*State/Region:

*Zip/Postal Code:

Zip +4

*Phone:

( )

Fax:

( )

*E-Mail:

4. Approving Manager:

*Name:

*Title:
*E-Mail:
5. Method of Payment:
*
Please bill my institution
Payment to be mailed
Purchase order is attached
Charge to a credit card
Account Number:
Expiration Date:
Name on Card:
Billing Address:
Billing Zip Code:


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