50th ANNUAL
CONFERENCE REGISTRATION FORM
TYPE OR PRINT LEGIBLY (Completion of the entire form is required)
SparX Conference 2016 Herndon, VA March 16-18, 2016 Conference Registration Fees Institute Member Standard
$585.00**
Non-Member Standard
$785.00**
Thursday Only Attendee
$335.00 ** No Early Discount Offered
** Receive a $25 early registration discount by registering 60 or more days in advance of the conference. A late fee of $50 will be assessed for those registrations received within 30 days of the conference
Registration Instructions: Print or type and complete all sections of the registration form. Retain a copy for your records. Fax to 703-635-2326 or email a scanned copy to [email protected] with payment information. If paying by check mail to the address provided below along with your check. All payments must be made in US funds. Payment: NIGP accepts Visa, MasterCard or American Express. Please include your billing address and card security code on the form when paying by credit card. If paying by check, make checks payable to NIGP and mail to the address on the registration form. Registration and payment must be received 30 days or more prior to the start of the conference to avoid late fees. If paying by purchase order a copy of the PO must be submitted with your registration form. Methods of Registration: Fax Complete the registration form, include payment information and fax it to 703-635-2326 Attn: Event Registration o Form of payment must accompany registration form for order to be processed Mail Send completed registration form with payment to: NIGP, ATTN: Course Registrar, 2411 Dulles Corner, Suite 350, Herndon, VA 20170. DO NOT MAIL AFTER MARCH 1, 2016 – FAX ONLY
Confirmation: All registrants will receive an email confirmation of their registration. Cancellations and Refunds: Registration and payment must be received 30 days prior to the conference start date. After this time, registrations will be based on space availability. A full refund, less a $75 administrative fee will be given for cancellations made in writing 31+ days prior to the conference date by emailing [email protected]. No refunds are given for cancellations received within 30 days of the conference start date. There are no refunds for no-shows. If the conference is cancelled for any reason, NIGP's liability is limited to the registration fee only. Attendee substitutions within the same agency may be done at any time with email notification to NIGP. Questions? Please contact the NIGP Registration team at [email protected] or call 800-FOR-NIGP should you have any questions regarding the event. For more information on the course location, hotel accommodations, etc., please review the information posted on the NIGP website for this conference.
CONFERENCE REGISTRATION FORM
___________________________ Full Name
______________________________ ____________________ Email Address
_________________________________________________________ Agency
______ Title
TYPE OR PRINT LEGIBLY (Completion of the entire form is required)
Check here if you require special assistance to fully participate in the seminar. Describe:
_________________________________________________
Required Information Name & Telephone of Emergency Contact during
City & State/Province (Include Zip/P.C.) _________________________________________________________ Phone (Include Area Code) Ext #
Fax No. (include Area Code)
SparX Conference 2016 Herndon, VA - March 16-18, 2016 NIGP Fees Listed Above PAYMENT INFORMATION Fee Total
Late Registration (+$50)
Enter Fee
(For registrations and payments received less than 30 days prior to the event.)
(Members receive the lowest registration fees)
NOTE: If paying by purchase order a copy of the PO must be submitted with your registration form. All payments must be made in U.S. Funds
Enclosed is a Check/Purchase Order for $ MasterCard Card #
Signature of Cardholder:
VISA
GRAND TOTAL
Check/PO number:
Make checks payable to: NIGP
American Express Exp.Date
Card Security Code________
_
Credit Card Billing Address: Street________________________________
City________________State______Zip__________
Cardholder’s name if different from registrant: (please print)_____________________________
SUBMIT INFORMATION TO Fax or email Registrations and Payment Information to 703-635-2326 Attn: Events Registration or [email protected] If paying by check, mail completed registration form and payment to: NIGP, ATTN: Seminar Registrar, 2411 Dulles Corner, Suite 350, Herndon, VA 20170 Registration and payment must be received 30 days prior to the conference start date. After this time, registrations will be based on space availability. A full refund, less a $75 administrative fee will be given for cancellations made in writing 31+ days prior to the seminar date by emailing [email protected]. No refunds are given for cancellations received within 30 days of the conference start date. There are no refunds for no-shows. If the conference is cancelled for any reason, NIGP's liability is limited to the registration fee only.
TYPE OR PRINT LEGIBLY (Completion of the entire form is required)
SparX Conference 2016 Herndon, VA March 16-18, 2016 Conference Registration Fees Institute Member Standard
$585.00**
Non-Member Standard
$785.00**
Thursday Only Attendee
$335.00 ** No Early Discount Offered
** Receive a $25 early registration discount by registering 60 or more days in advance of the conference. A late fee of $50 will be assessed for those registrations received within 30 days of the conference
Registration Instructions: Print or type and complete all sections of the registration form. Retain a copy for your records. Fax to 703-635-2326 or email a scanned copy to [email protected] with payment information. If paying by check mail to the address provided below along with your check. All payments must be made in US funds. Payment: NIGP accepts Visa, MasterCard or American Express. Please include your billing address and card security code on the form when paying by credit card. If paying by check, make checks payable to NIGP and mail to the address on the registration form. Registration and payment must be received 30 days or more prior to the start of the conference to avoid late fees. If paying by purchase order a copy of the PO must be submitted with your registration form. Methods of Registration: Fax Complete the registration form, include payment information and fax it to 703-635-2326 Attn: Event Registration o Form of payment must accompany registration form for order to be processed Mail Send completed registration form with payment to: NIGP, ATTN: Course Registrar, 2411 Dulles Corner, Suite 350, Herndon, VA 20170. DO NOT MAIL AFTER MARCH 1, 2016 – FAX ONLY
Confirmation: All registrants will receive an email confirmation of their registration. Cancellations and Refunds: Registration and payment must be received 30 days prior to the conference start date. After this time, registrations will be based on space availability. A full refund, less a $75 administrative fee will be given for cancellations made in writing 31+ days prior to the conference date by emailing [email protected]. No refunds are given for cancellations received within 30 days of the conference start date. There are no refunds for no-shows. If the conference is cancelled for any reason, NIGP's liability is limited to the registration fee only. Attendee substitutions within the same agency may be done at any time with email notification to NIGP. Questions? Please contact the NIGP Registration team at [email protected] or call 800-FOR-NIGP should you have any questions regarding the event. For more information on the course location, hotel accommodations, etc., please review the information posted on the NIGP website for this conference.
CONFERENCE REGISTRATION FORM
___________________________ Full Name
______________________________ ____________________ Email Address
_________________________________________________________ Agency
______ Title
TYPE OR PRINT LEGIBLY (Completion of the entire form is required)
Check here if you require special assistance to fully participate in the seminar. Describe:
_________________________________________________
Required Information Name & Telephone of Emergency Contact during
City & State/Province (Include Zip/P.C.) _________________________________________________________ Phone (Include Area Code) Ext #
Fax No. (include Area Code)
SparX Conference 2016 Herndon, VA - March 16-18, 2016 NIGP Fees Listed Above PAYMENT INFORMATION Fee Total
Late Registration (+$50)
Enter Fee
(For registrations and payments received less than 30 days prior to the event.)
(Members receive the lowest registration fees)
NOTE: If paying by purchase order a copy of the PO must be submitted with your registration form. All payments must be made in U.S. Funds
Enclosed is a Check/Purchase Order for $ MasterCard Card #
Signature of Cardholder:
VISA
GRAND TOTAL
Check/PO number:
Make checks payable to: NIGP
American Express Exp.Date
Card Security Code________
_
Credit Card Billing Address: Street________________________________
City________________State______Zip__________
Cardholder’s name if different from registrant: (please print)_____________________________
SUBMIT INFORMATION TO Fax or email Registrations and Payment Information to 703-635-2326 Attn: Events Registration or [email protected] If paying by check, mail completed registration form and payment to: NIGP, ATTN: Seminar Registrar, 2411 Dulles Corner, Suite 350, Herndon, VA 20170 Registration and payment must be received 30 days prior to the conference start date. After this time, registrations will be based on space availability. A full refund, less a $75 administrative fee will be given for cancellations made in writing 31+ days prior to the seminar date by emailing [email protected]. No refunds are given for cancellations received within 30 days of the conference start date. There are no refunds for no-shows. If the conference is cancelled for any reason, NIGP's liability is limited to the registration fee only.
