Please provide the following contact information:

First Name
Last Name
Title
Organization
Mailing Address
Address (cont.)
City
State
Zip/
Work Phone
FAX
E-mail
Preferred Name on Badge

Select any of the following options that apply:

Active Member Registration ($165)  (Full Conference Access) After 6/1/08 - $190.00
Associate Member Registration ($145) (Full Conference Access except voting for TAPT officers)

                                                                                                                           After 6/1/08 - $170.00
Honorary Lifetime Member Registration  ($55) (Full Conference Access except voting for officers)             
Unable to attend paying dues only List type of MembershipActive $40.00 Associate $20
Attending First Conference   How did you find out about this Conference?

Register Me for Friday Certification Class#

Register Me for Saturday Certification Class(es)#'s

Register Me for Sunday Certification Class(es)#'s

(1/2 day classes are indicated by the .5 in their number.  Please enter both class numbers if you are taking two 1/2 classes on either day.  Fees for 1/2 days classes is $40.00 and full day is $75.00. 

Written cancellation and/or substitution (verbal not accepted) of class requires 15 days written notice.  Cancellations received within 15 days of class date will be refunded at 50% of registration fee.