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APCO 2024 Western Regional Registration
*Registrations are transferrable but not refundable
**If paying by credit card credit card fee will be added on to the final cost
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* Indicates required question
Select a Registration Type
*
Full Registration
Day One 5/8/24 Day Pass
Day Two 5/9/24 Day Pass
Day Three 5/10/24 Day Pass
First and Last Name of Attendee
*
Your answer
Name of who Billing Invoice should be sent to
*
Your answer
Attendee Email Address
*
Your answer
Billing Email Address
*
Your answer
Billing Mailing Address
*
Your answer
Agency Name (No abbreviations please)
*
Your answer
Dietary Restrictions of Attendee if any
*
Dietary Accommodations will be attempted to be made but not guaranteed
*
Gluten-free
Vegetarian
Dairy Free
All
None
Unknown
Other:
Payment Method
*
Check
Credit Card (*Note the credit card fee will be added on to the total cost)
Required
If paying by credit card, please provide a good contact number
Your answer
Invoices will be emailed out to billing email address on this form. If paying by credit card we will call you to collect your payment during business hours.
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