NAPM-WW

Dinner Registration Form

 


For a confirmed reservation, registration must be received 72 hours in advance. Cancellations received after the 72-hour cut-off and all no-shows will be billed. If you are registering within 24 hours of the meeting, please contact the NAPM-WW business office to ensure your registration has been received (425) 462-5762.  Program details and location directions are available on the website.

 

Office Fax: 206/770-6312

 

Use this form to register online. If you prefer to fax your registration or pay at the door, print this form and submit by the required timelines. If you hold a certification, please type in after your last name (to include on your dinner badge).

FirstName
 
LastName
 
Title
 
Employer
 

Address
 

City
 
State
 
Zip
 
Phone
 
FAX
 
Email
 

NAPM or APICS Member    Yes    No

 

Vegetarian Meal    Yes

 

Dinner Meeting Rates:

 

Member $70  

Non-Member $85    

 

 

(If you want to pay at the door, please type in "Pay at Door" for Credit Card #)

Credit Card Number
 
Expiration Date
 
Amount Authorized
 
Name on Card
 
Phone Associated to Card