Greater Philadelphia 2002 Convention Internet Registration Form


Tell us what you think about our web site, our organization, or anything else that comes to mind. We welcome all of your comments and suggestions. Email us at bill@lock.com

Last Name First Name Middle In.

PRP Nickname GPLA Member Number

Address City / Town State Zip

Wednesday Class October 23, 2002

Thursday Class October 24, 2002

Friday Class October 25, 2002

Amsec Free Clinic by Pat Baker Topic Closing the Deal

Product Exhibit (Free if Pre-Register)

List Additional Product Exhibit Attendees

List Additional Product Exhibit Attendees

List Additional Product Exhibit Attendees

Shopping Excursion

Other Association affiliations

Current or previously held offices

President Reception & Awards Banquet (Note: This Fee Includes Two Socials Friday & Saturday Night)

Name: Fee: $ 65.00Guest Name: Fee $ 65.00

TOTAL COST ENCLOSED $

All information must be complete and accurate before we can process a registration

Card Holders Name As It Appears On The Card

Credit Card Number

Expiration Date Month and Year Visa Mastercard

Tell us how to get in touch with you:

Daytime Telephone
Night Time Telephone
E-mail
FAX
Please mail me a confirmation via us mail.
 
Your registration package will be ready at the registration table when you arrive.  You may check for your registration confirmation at www.gpla.org.  Please allow several days after registering on the web for confirmation.


Copyright © 2002 Greater Philadelphia Locksmith Association. All rights reserved.
Revised: October 17, 2002 .