APCA 2008 Membership
and Conference Registration
VERONA, NY

School Name:

_________________________________

 School Advisor:

_________________________________

School Address:

_________________________________

City:

_________________________________

State:

__________________    Zip: ______________

Phone:

___________________  Fax: ______________

 Email:

_________________________________

Student Population

Demographics

   __ BELOW 3,000

Public:__  Private:__  Religious Affiliated:____

   __ 3,000 – 5000

Commuter: __

   __ 5,000 - 10,000

4-year: __ 2-year: __

   __ 10,000 -15,000

Tech/Trade: __

   __ 15,000 - UP

Activities Budget: $ __________

% of Budget spent on:

Comedy: ____%

Lectures: ____%

Movies: ____%

 

Music: ____%

Novelties: ____%

Other: ____%

Names of Delegates Attending APCA Fall Programming Conference
(list additional delegates separately):

Delegate   1 _______________________

Delegate   9 _______________________

Delegate   2 _______________________

Delegate   10 _______________________

Delegate   3 _______________________

Delegate   11 _______________________

Delegate   4 _______________________

Delegate   12 _______________________

Delegate   5 _______________________

Delegate   13 _______________________

Delegate   6 _______________________

Delegate   14 _______________________

Delegate   7 _______________________

Delegate   15 _______________________

Delegate   8 _______________________

Delegate   16 _______________________

All schools registering delegates must be APCA members in good standing or pay non member prices.
REGISTER EARLY AND SAVE BIG!!

Verona, NY Conference Pricing

Prior to 10/17/08

Member

Non-Member

Member Day Pass

Non-Member Day Pass

1-5 delegates

$179 / delegate

$209 / delegate

$99 / delegate

$139 / delegate

6+ delegates

$159 / delegate

$189 / delegate

$99 / delegate

$139 / delegate

After 10/17/08

Member

Non-Member

Member Day Pass

Non-Member Day Pass

1-5 delegates

$209 / delegate

$249 / delegate

$129 / delegate

$159 / delegate

6+ delegates

$189 / delegate

$229 / delegate

$129 / delegate

$159 / delegate

Military Programmers Receive 20% Off Delegate Fees

__ Campus membership fees enclosed ($199 annually) - number of memberships:_____
     ___ I am already a member in good standing
Schools registering delegates must be APCA members in good standing or pay nonmember prices.

$_________

Total # of Shirts:______
Indicate # per size: ____ Med   ____ Lg  ____ XL  ____ XXL   ____ XXXL

$_________

TOTAL FEES ENCLOSED or AUTHORIZED TO BE CHARGED
The APCA FEI Number is 650551461

$_________

# Vegetarian Meals:____    # Vegan Meals:___    #Kosher Meals:___
# Non Dairy Meals:____

Credit Card Orders:
__VISA   __MasterCard  __American Express
Card Number: ________________   Exp. Date: ________
Name on Card: ________________________
CVV2#: ______ (3 digit # on right back or card)
 
Signature: __________________________________ Date:___/___/___

Billing Information:
Billing Address:______________________________
City, State: _________________, _________ Zip: _____________

Faculty Advisor    ______________________________                        Date ____________________

Delegation Leader / Co-Op Buyer ________________________________
 

Travel & Lodging Information
Conference Location & Hotel Information:
urning Stone Resort & Casino
http://www.turningstone.com
Reserations: 1-800-771-7711 Tell them you are attending the APCA conference to receive the special rate.
DO NOT SEND MONEY FOR HOTEL TO THE APCA


HotelRates (All rooms + 8.5% tax per night, Parking is FREE):
 Saturday:  Single/Double $169.00   Triple: $179.00   Quad: $189.00
Sunday & Monday: Single/Double $159.00    Triple: $169.00   Quad: $179.00

Hotel Registration Deadline: October 15, 2008 or until block sells out. After that, all reservations taken will be taken will be based on space and rate availability. The room rate may go up substantialy.
Airport & Shuttle Information: The nearest airport is in Syracuse Hancock International, N.Y.


Refunds: Delegate fees are non-refundable, but a $75 credit per cancelled delegate towards next conference is allowable in the event of cacellations toward any APCA conference to be held during the next one year time period.  No charge for name substitutions!

Fax to:
(865) 908-7104
or
Mail to:
APCA
PO Box 4340
Sevierville, TN 37862

Questions???? Call (800) 681-5031