| STEP I: Information About You
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Type your name and address as you would like the information to appear
on your badge and official conference registration lists. NOTE: Fields marked with an asterisk (*) are required
for registrations submitted through e-mail.
Name*
Title
Organization
Address
City
State
Postal Code
Country
E-mail*
Phone*
Fax
For additional paid reservations (spouse or staff members) include Name
and Title below. (Exhibitors: do not use this space for names of exhibitor
representatives)
Name1
Title1
Name2
Title2
Is This Your First ISPA Conference? YES / NO
If you are new to ISPA or our New York conference, we will be happy to
assign you an ISPA member to be your host and help introduce you to the
organization. Just check the box below to indicate you would like this service,
and indicate your first and second languages.
I would like to have a host. I understand I will be contacted before
the conference with more information.
YES / NO
First Language:
Second Language:
Please specify any Special Dietary Requirements?
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| STEP II: Select Your Order
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Select and complete the appropriate order form, following the
instructions given. Please note that ISPA members and their
staff qualify for the member rate.
Broadway Tickets:
ISPA has purchased tickets for two exciting Broadway shows on Tuesday
evening, December 16: Chicago and The Capeman (in previews).
Members may order tickets on the registration forms below, and there
is a limit of two tickets per member. (We will provide additional
information on other plays and concerts being performed in New York
during the time of the conference but these are our only group tickets.)
Conference Meals for Delegates and Exhibitors:
- Conference meals include dinner on Sunday (12/14) and Monday (12/15) and
lunch on Monday (12/15) and Tuesday (12/16). Additional receptions and coffee
breaks are also included.
- The cost of conference meals is included in the member, spouse and non-member
registration fees (order forms A, B, C or D). Meal costs are not included for
exhibitors selecting order form E, where meals must be paid for separately.
Breakfasts are not included in the registration fee or the hotel cost.
- Delegates wishing to purchase additional meal tickets for guests should
contact the ISPA office for availability.
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Select One of the Following Order Forms
When your form is completed, go to Step III to complete your registration
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DELEGATE ORDER FORM A: Members Only
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For ISPA members who want to register for the conference and do NOT plan
to exhibit on Tuesday, December 16
(when complete, jump to Step III)
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| Qty |
Item |
By Nov. 14 |
After Nov. 14 |
Totals |
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Member Registration | $525 | $600 |
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Spouse Registration | $400 | $475 |
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Ticket(s) to CHICAGO | $75 | $75 |
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Ticket(s) to THE CAPEMAN | $65 | $65 |
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| | Total Order |
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DELEGATE ORDER FORM B: Non-Members
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For non-ISPA members who wish to register for the entire conference
(when complete, jump to Step III) |
| Qty | Item |
By Nov. 14 | After Nov. 14 | Totals |
| Non-Member Registration | $825
| $900 | |
| | Total Order | |
DELEGATE ORDER FORM C: Single Day Registrations
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For those who only wish to attend one or two days of the conference (member
or non-member). Select the Day You Are Ordering (none):
Sun. Dec. 14 Mon. Dec. 15 Tues. Dec. 16 Wed Dec. 17
(when complete, jump to Step III) |
| Qty | Item | By Nov. 14 | After Nov. 14 | Totals |
| Member Daily Rate | $275 | $350 | |
| Non-Member Daily Rate | $425 | $500 | |
| Total Order | |
DELEGATE ORDER FORM D: Exhibit Table(s) and Full Registration
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For ISPA members who wish to exhibit on Tuesday, December 16 and attend
the entire conference
(when complete, jump to Step III) |
| Qty | Item | By Nov. 14 | After Nov. 14 | Totals |
| Member Registration | $525 | $600 | |
| Spouse Registration | $400 | $475 | |
| Exhibitor Tables | $200 | $275 | |
| Extra Exhibit Representatives | $100 | $150 | |
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Ticket(s) for Exhibit Lunch*** | $55 | $55 | |
| | ***Note: One Exhibit Lunch Ticket is included in the Member & Spouse
Registration Fee | |
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Ticket(s) to CHICAGO | $75 | $75 |
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Ticket(s) to THE CAPEMAN | $65 | $65 |
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| | Total Order | |
DELEGATE ORDER FORM E: Exhibit Table(s) Only plus Optional Events
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For ISPA members who only wish to exhibit with the option of attending additional
social functions
(when complete, jump to Step III) |
| Qty | Item | By Nov. 14 | After Nov. 14 | Totals |
| Exhibitor Tables | $450 | $550 |
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| Extra Exhibit Representatives | $100 | $150 | |
| 12/14 Gala Dinner Ticket(s) | $125 | $125 | |
| 12/15 Monday Lunch Ticket(s) | $75 | $75 | |
| 12/15 Dinner Cruise Ticket(s) | $125 | $125 | |
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12/16 Exhibit Lunch Ticket(s) | $55 | $55 | |
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Ticket(s) to CHICAGO | $75 | $75 |
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Ticket(s) to THE CAPEMAN | $65 | $65 |
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| | Total Order | |
EXHIBITORS PLEASE COMPLETE ADDITIONAL INFORMATION:
Names of all your exhibitor representatives (for conference badges) Note: Two exhibitor representatives per table are included in the table fee. Extra representatives beyond the 2 per table can be ordered for an additional fee. Include the names of all representatives below.
Rep1
Title1
Rep2
Title2
Rep3
Title3
Rep4
Title4
Rep5
Title5
Rep6
Title6
You may request an exhibit floor map and state your preferred location. Simply contact the ISPA office and request a copy of the map by fax.
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| Step III: Payment and Other Information
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Hotel Reservations:
The ISPA hotel rate at the Crowne Plaza Manhattan is $169.00 double or single, plus applicable tax. Delegates must make their own hotel reservations directly with the Crowne Plaza Manhattan, 1605 Broadway (at 49th Street), New York, NY 10019, Phone: 212-977-4000, Reservations Fax: Attention Fanny De La Rosa, 212-315-6164. Our block of reserved rooms and conference rate expires November 21, and we strongly advise delegates to request a mailed or faxed confirmation of your reservation well before that deadline. Hotel bookings in New York are extremely heavy at this time of year and our room block is limited.
Deadlines:
Registration forms and payment must be received by November 14, 1997 in order to qualify for the discounted early registration fee. If you are concerned about missing this deadline, we advise faxing your registration, guaranteed by a credit card, to +1-616-364-9010. Forms received after November 14 will be processed at the higher rate.
Mail, fax or email your order to the ISPA office. All orders will be promptly confirmed.
ISPA, 50th Anniversary Conference
2920 Fuller Ave. NE, Ste 205
Grand Rapids, MI 49505-3458
tel 914.921.1550 / fax 914.921.1593
You may submit your registration and payment by any of the following methods. Please note that no refunds can be issued after December 1, 1997. Refunds made before December 1 will be subject to a $75 service charge. All ISPA charges are expressed in United States dollars.
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Payment by Check:
- Print this completed form on your computer's printer
- Mail your form and payment to the ISPA office at the address above
- Please note that the check must be drawn on a US Bank in US dollars. (We cannot accept other checks due to very high collection costs.)
- Payment by Credit Card
- Print this page on your computer's printer
- Circle the credit card type below, and write in your card information by hand.
(circle one): VISA MASTERCARD AMERICAN EXPRESS
Amount Paid: US$_________
Signature:_________________________________
Card Number: __-__-__-__/__-__-__-__/__-__-__-__/__-__-__-__
Expiration Date: ___/___
- Fax or mail the registration form to the ISPA Office at the address above
- Payment by Wire Transfer
- Either print this completed form on your computer's printer, or hit the
SUBMIT button to send it electronically
- To enable us to correctly identify wire transfer payments, please fax a copy of your actual wire transfer order to us with your registration forms, otherwise we may not be able to properly credit your account.
The transfer information for our bank account is:
ISPA
Comerica Bank-Detroit
ABA 0720-0009-6
Acct. #1840384281
- Registration by E-mail (Payment by Invoice)
- Click the SUBMIT button below
- You will receive an e-mail confirmation request, reply to this request
to confirm your submission
- You will be invoiced for the appropriate amount (NOTE: To receive the
cost discount for registrations before November 14, you must PAY YOUR INVOICE BY NOVEMBER 14. Those who have not paid by that date will be re-invoiced at the higher amount.
Do NOT click the button below unless you intend to register by e-mail. For all other payment options, simply print out this completed form on your computer's printer using the PRINT command in your web browser.
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