GENERAL INFORMATION
(Print/Type information EXACTLY as you wish it to appear on the registration roster).
 
ONLINE REGISTRATION FORM:
* Indicates required field
 
(Mr. Ms. Dr).    *
First Name:    *
Last Name:    *
MI:   
Nickname (for badge):    *
Title:    *
Company:    *
Address:    *
Address 2:    *
City:    *
State:    *
Zip:    *
Phone:    * (XXX) XXX-XXXX
Fax:    (XXX) XXX-XXXX
Email:
(mandatory for processing)
   *
 
     If you require special assistance to fully participate in the conference please complete the box below with your special needs request. Thank you
 
REGISTRATION FEES:
Item Cost Total
Registration (Includes breakfast, breaks and lunch as well as meeting materials) $150 $
Please check here if you will attend the Reception/Dinner on April 17.  (Complimentary thanks to sponsors) 0
    Total $
 
** Industry suppliers who wish to attend the meeting and serve on the Committee must join AFSA. For details and membership information please contact Jenny Bengtson at 202-296-8530 or email [email protected]
PAYMENT INFORMATION:
Enter Credit Card Information
Click here to use registration information above for billing
Name on Card:
First Name:
Last Name:

Card Information:
Card Type:
Card Number:
Expiration Date:
Card Verification Number:

Billing Address:
Street Address:
City:
State:
ZIP Code: (5 or 9 digits)
Amount $:
 
HOTEL INFORMATION:

Meeting Location:
Embassy Suites Outdoor World in Grapevine

2401 Bass Pro Drive
Grapevine, TX 76053
http://embassysuites3.hilton.com

Hotel offers the following:
Free shuttle service for hotel guests to and from the airport
Convenient access to area attractions and restaurants

Preferred Room Rate:
Special room rate of $189; discounted rate also available for staying
before or after night of April 17th.
Hotel Rate Code: EXE 

AIR & GROUND TRANSPORTATION INFORMATION:
Free shuttle service for hotel guests to and from the airport if you book the host hotel.

If you choose to rent car we encourage you to use Enterprise and take advantage of the special AFSA discount by entering the following discount code 16AH072.
CANCELLATIONS & REFUNDS:
All registration cancellations and refund requests must be made in writing to Jenny Bengtson, at AFSA, 919 18th Street, NW, Suite 300, Washington, DC 20006 or email [email protected] Full refunds will be given until 1 week prior to the first day of the meeting and substitutions can be made at any time.
QUESTIONS:
If you have questions about registration please contact Jenny Bengtson at AFSA 202-296-8530 or [email protected]. If you have general meeting questions please contact Michele Battaline at 202-776-7302/ [email protected].


For More Information Contact the Meetings Department
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