2005 Registration Form


Please register only one person per form unless you are using the Group Rate.

Join APPPAH  (optional)
Student - U.S. $60  
North and South America $95  
International $120  

Congress and Workshop Attendance
Congress Member Non-Member
Group Rate for 3 or more.  Number of people... $425  $475
Workstudy Rate, details -> $350 $350
Regular Registration $575 $625
Day Rates $110 $150
Workshops on Wednesday November 16th
Verny $110 $150
Emerson $110 $150
McCarty $110 $150
Frees $110 $150
Workshops on Thursday November 17th
Hughes $110 $150
Wirth $110 $150
Turner/Garland $110 $150
Ohm $110 $150

Workshops on Sunday November 20th
Gaskin $110 $150
Klaus $110 $150
Brenner $110 $150
Newman $110 $150

Workshop on Monday November 21th
Castellino $110 $150

Preferred name for your Badge

Film Award and Cabaret Night Yes   Qty
Film Award, no charge, details -> Number of seats to reserve  
Saturday Night Cabaret, no charge, details ->    Number of seats to reserve  
Include Dinner, $50 plate Chicken Dinner  
  Beef Dinner  
  Vegetarian Dinner  

   $30       Check for CE Certificate  (Optional)     
CE State
CE License(s) 
  Free  -  Check for cerficiate of attendance