NAPIA - Online Registration

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2008 Annual Meeting
Hyatt Regency Chesapeake Bay
Golf Resort, Spa & Marina
Cambridge, MD
June 11-15, 2008

EVENT REGISTRATION FORM

National Association of Public Insurance Adjusters
21165 Whitfield Place, #105
Potomac Falls, VA 20165
(703) 433-9217
FAX: (703) 433-0369

Please register the following:


             Name:  *
        Firm name: 
 Business Address: 
             City: 
            State: 
              Zip: 
   Business Phone: 

       Fax Number: 
           E-mail:  *

Is this your first NAPIA meeting:   Yes  No

      Credit Card #: 
    Expiration Date: 
    Credit Card Co.: 
Name on Credit Card: 

Please print my name badge(s) as shown below:

             Name: 
 Spouse / Guest 1: 
          Guest 2: 
          Guest 3: 
          Company: 
             City: 
            State:

REGISTRATION

Attendee	Cost by May 12th	Cost after May12th
NAPIA Members	$1,075	$1,115
Spouse / Guest	$650	$680
Child (12 & under)	$195	$215
* Non-Member Rep	$540	$570

* Fee includes Semiar & breaks only

Optional Events

Golf Tournament: $175 - (includes greens fee, cart, range balls, lunch, refreshments & prizes).
# of people: Names:

Sporting Clay Shooting Tournament: $120 - (includes, range fees, shotgun, ammunition, lunch, refreshments, transportation & prizes).
# of people: Names:

Fishing Tournament: $195 - (includes boat, crew, fishing equipment, bait, license, lunch, refreshments and prizes).
# of people: Names:

CANCELLATION POLICY

A full refund of all event registration fees will be applied to cancellations received no less than two weeks (14 days) prior to the opening day. Within the two-week period, fifty percent (50%) of all registration fees will be refunded for notice received no less than two days prior to opening day. No refund will be issued for cancellations received within 48 hours of the NAPIA event.

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