2008 APPI Continuing Educational Seminar Registration Form

Beginning at 12:30 PM May 14th and ending at 12:30 PM May 15th, 2008
The Westin — Dallas Fort Worth Airport Hotel
4545 West John Carpenter Freeway
Irving, TX 75063

First Name*

Last Name*

Title*

Company*

Mailing Address

Address 1*

Address 2

City, State, Zip*

Email*

Are you an APPI Member?

Yes, I am

Educational Program Costs:

Prior to April 19th

$300.00

After April 19th

$350.00

Registration includes reception on May 14th and continental breakfast on May 15th.

Method of payment*

	Credit Card
	Check Please mail copy of the completed form and payment to: APPI Educational Seminar c/o Burke & Herbert Bank PO Box 604 Alexandria, VA 22313-0604

Reserve your room