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PCI Northeast’s Annual Meeting Registration

September 13 and 14, 2017

 
 
  * These fields are required
Attendee Information:
 
* First Name:
 
* Last Name:
 
* Company:
 
* Address:
 
* City:
 
* State:
 
* Zip/Postal Code:
 
* Country:
U.S. Canada Other
 
 
 
* Business Phone:
 
Fax:
 
* Email:
 
 
 
 
 
REGISTRATION FEE OPTIONS:
 
 
Meeting Only
 
Meeting Only
$60.00
 
Reception and Dinner Only
 
Dinner Selection - Beef
$125.00
 
Dinner Selection - Fish
$125.00
 
Meeting, Reception and Dinner
 
Dinner Selection - Beef
$185.00
 
Dinner Selection - Fish
$185.00
 
Meeting, Reception, Dinner and Golf
 
Dinner Selection - Beef
$285.00
 
Dinner Selection - Fish
$285.00
 
OPTIONAL ITEMS:
 
Annual Meeting Sponsor
 
Annual Meeting Sponsor
$250.00
 
 
 
Payment Method:
 
Total: