APCA 2010 Membership
and Conference Registration
HOUSTON, TX

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!!

Houston, TX Conference Pricing

Prior to 9/1/10

Member

Non-Member

Member Day Pass

Non-Member Day Pass

1-5 delegates

$189 / delegate

$219 / delegate

$109 / delegate

$149 / delegate

6+ delegates

$169 / delegate

$199 / delegate

$109 / delegate

$149 / delegate

After 9/1/10

Member

Non-Member

Member Day Pass

Non-Member Day Pass

1-5 delegates

$219 / delegate

$259 / delegate

$139 / delegate

$169 / delegate

6+ delegates

$199 / delegate

$239 / delegate

$139 / delegate

$169 / delegate

Spousal Fee

$129

 

 

 

__ 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

November 13-15, 2009
Renaissance Houston Hotel Greenway Plaza
 Greenway Plaza East
Houston, Texas 77046 USA
Phone: (713) 629-1200 or (800) 468-3571

http://www.marriott.com/hotels/hotel-information/travel/houbr-renaissance-houston-hotel-greenway-plaza/

Rates:
Single/Double/Triple/Quad $119 + tax per night

Parking: $6.00 self parking and $16.00 valet per night

Hotel Cutoff: October 23, 2009. After that, all reservations taken will be based on space and rate available basis; the room prices may go up substantially. Be sure to mention you are with the APCA to receive the special rate. Reservations for rooms at the Renaissance are the responsibility of the school.

Check-in: 3:00 pm Check-out: 12:00 pm

DO NOT SEND MONEY FOR THE ROOMS TO THE APCA!

Airport:
Houston-Bush Intercontinental (IAH)

Hotel direction: 16.5 miles SW
Estimated taxi fare: 55.00 USD (one way)
Houston-Hobby, TX (HOU)

Hotel direction: 10.7 miles NW

Estimated taxi fare: 35.00 USD (one way)

Budget discount savings code Z829339

Refunds: Delegate fees are nonrefundable, but a $75 credit per canceled delegate towards your choice of another APCA conference is allowable in event of cancellations (good for one year from ending date of canceled conference).

 

 

 

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

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