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$20/members
$30/non members
$10/students
Register by March 1.
Three ways to register:
1. Register online with PayPal
2. Fax this form to PRSA-NJ at 732-291-2807
3. E-mail this form Ann Fody
Please make all checks payable to PRSA-NJ and please mail in advance to:
PRSA-NJ P.O. Box 408 Navesink, NJ 07752
REGISTRATION FORM
NAME:_____________________________________________________________
COMPANY:_________________________________________________________
ADDRESS:_________________________________________________________
VOICE:____________________________FAX____________________________
E-MAIL:___________________________________________________________
PAYMENT METHOD:
CREDIT CARD
Master Card______Visa______American Express______Discover_____
Card Number_________________________________Expiry________________
Name on Card_(Print)_______________________________________________
Signature__________________________________________________________
CHECK________
Please be aware that all cancellations must be made at least three days prior to the event. Failure to do so will result in your being billed for the cost of the event.
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