|
|
NAADAC/MAAP CONFERENCE REGISTRATION
Individuals | Sponsors | Exhibitors
|
|
|
|
REGISTRATION INFORMATION
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
First Name
|
|
|
Middle Initial
|
|
|
Last Name
|
|
|
Date
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DD/MM/YYYY
|
|
|
|
|
|
|
Designation(s)
|
|
|
|
|
|
|
|
|
|
Company
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Address
|
|
|
City
|
|
|
State
|
|
|
Zip Code
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Phone
|
|
|
Email
|
|
|
Fax
|
|
|
|
|
|
|
|
|
CONFERENCE ATTENDANCE
|
|
|
|
Clark's Cove Farm & Inn
Three Day Conference - July 29 - July 31, 2011
|
|
|
|
Please Select One from Choices Below
|
|
|
|
|
|
|
|
|
Three Day Conference - July 29 - 31, 2011
|
|
|
|
|
|
|
|
|
|
Two Day Conference - July 29 - 30, 2011
|
|
|
|
|
|
|
|
|
|
One Day Conference - July 29 - 30, 2011
Please select which day(s) you will attend
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Friday
|
|
Saturday
|
|
Sunday
|
|
|
|
|
|
|
|
|
|
|
Maine Lobster (Lobstah) Bake - Yes, by Jeesum, sign me up
|
|
|
|
|
|
|
Saturday July 30 - 6:30 PM
|
|
|
|
NAADAC/MAAP MEMBERSHIP
|
|
|
|
I Want to Join NAADAC/MAAP
Select Type of Membership
|
|
|
|
Professional - $110
|
|
|
|
Associate - $89
|
|
|
|
Student - $42.50
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exhibitor & Sponsorship Opportunities | Read Prospectus | Sponsorship & Exhibitor Details
|
|
|
|
Select Sponsorship/Exibitor Opportunity Below | You May Select More Than One
|
|
|
|
Dinner Sponsor/Exhibitor
One available at $1,500
|
|
Lunch Sponsor/Exhibitor
Three available at $1,200
|
|
Continental Breakfast Sponsor/Exhibitor
Three available at $1,200 each
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Coffee Break Sponsor/Exhibitor
Six available at $600 each
|
|
Supporting Sponsor/Exhibitor
Four available at $400 each
|
|
Exhibitor Only
$200 each (Limited Space)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wellness Gift Bag Sponsor/Exhibitor
Please contact Diana Kamp at
dkamp@naadac.org or 800.548.0497 x130
|
|
If you are interested in becoming a sponsor or an exhibitor for this event
and need more information or assitsance, please contact Diana Kamp.
|
|
|
|
Email: diana@naadac.org
|
|
|
|
|
|
PAYMENT
|
|
|
|
You may make payment through this site using PayPal or print out PDF form and send it in with your check or credit card
information. You will be taken to a confirmation page after you submit this form with a link to the sponsorship payment page.
|
|
|
|
|
|
|
|
Payment with PayPal
|
|
|
|
|
|
|
|
Pay By Check
|
|
|
|
|
|
|
|
If you have selected PayPal you will be
directed to a PayPal Registration
Purchase Page after you select Submit.
|
|
|
|
Make checks payable to:
NAADAC/MAAP
1001 N. Fairfax Street
Suite 201
Alexandria, VA 22314
Fax: (703) 741-7698 - Attn: Angela
Questions: (800) 548-0497
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Email: angela@naadac.org
|
|
|
