AFPNCOH MEETING RESERVATION FORM

 

Directions: Tab and type to complete this page. Print it. Push the [Submit] button to start the reservation process.

  • If you are paying by check: Mail this completed form with your check to AFPNCOH, 703 South Main Street #211, Akron OH  44311.
  • If you are paying by MasterCard or Visa: Fax this completed form with your credit card information to 330-315-0399.
  • Payments will be accepted at the door, although we encourage you to pay early to avoid long lines at the event.

If you make a reservation, you are responsible for the fee even if you do not attend. Cancellations must be received by the posted reservation deadline.

Questions? Phone: 330-315-0402    Live Help: www.pclivehelp.org

Name

Organization

Address

City, State, Zip

Daytime Phone Number

E-Mail Address (required)

 

I will be coming to the      meeting:
                                                                            Note: If you do not cancel by the reservation deadline, you will be billed.

Additional names and email addresses of people coming:

Costs:

$15 for each member     $22 for each non-member

Total amount you will pay:

$ Make checks payable to the AFP North Central Ohio Chapter

Payment option:

  • If you are paying by check: Mail this completed form with your check to AFPNCOH, 703 South Main Street #211, Akron OH  44311.
  • If you are paying by MasterCard or Visa: Print this form, write down your credit card information, and fax this completed form 330-315-0399.

 

I have pre-paid for this meeting
I will pay at the door
Check enclosed
Charge my credit card:  __ Visa         __ Mastercard
       Will appear as “INFO LINE” on your statement

Number _____________________________ Exp _________

Signature _______________________Security Code______

 

Questions for the speaker(s):

 

Who else should receive this newsletter?
Name
Organization
E-mail Address