ASBPE National Editorial Conference Registration Form

ASBPE National Editorial Conference
Registration

REGISTRANT INFORMATION

Note: Credit card payment is required for online registration. To pay by check, print and mail the Printable Registration Form.

Name		Job Title
Company		Address
City		State
ZIP Code		Phone
Fax
E-Mail (Required)

Are you an ASBPE member? Yes No

I want to become a member of ASBPE, $75 is included in the total payment for my annual dues.

FULL CONFERENCE FEES*:

Postmarked by July 13:

Member: $395
Nonmember: $495

Postmarked after July 13:

Member: $475
Nonmember: $675

ONE-DAY CONFERENCE FEES**:

Postmarked by July 13:

Member: $230
Nonmember: $285

Postmarked after July 13:

Member: $330
Nonmember: $385

* 3-PLUS Discount: If three or more are attending from the same magazine, a 10% discount applies.
** One-day fee does NOT include banquet.

I will attend on:
Aug 2 Aug 3 Banquet
Please check the box if three or more are attending both days from the same magazine. Discount is subject to verification and will be applied at the time of credit card processing.

BANQUET ONLY FEES:
If you check both Aug 2 and Aug 3, your Banquet fee will be waived.

	Member:	$140
	Nonmember:	$165

HARBOR LIGHTS BOAT TOUR FEES:

Yes, I will attend the boat tour (free with full Conference registration)

I would like to purchase additional tickets:

	$30/Adult
	$20/Children

SATURDAY MIDTOWN 2-HOUR ARCHITECTURAL WALKING TOUR AND LUNCH IN CENTRAL PARK FEES:
Yes, I will attend the walking tour and lunch ($45)

AZBEE EXCELLENCE CLINIC:
Please check the box if you would like to enter a submission to the Azbee Excellence Clinic (see session description on page 3 of the Printable Registration Form). We will contact you via email about categories, where to send your submission and other pertinent information.

PAYMENT INFORMATION
Payment must accompany this form. Payment for all registrants from one organization may be covered by a single check or credit card, however, registration forms must be submitted together.

Payment Type:
Name on Card
Card Number
Exp. Date