Registration Reg PDC

Registration Form

Member: $105

Non-member: $130

Due to seating limitations of the rooms available to us, sign-up for specific sessions will be on a first come/first served basis.

Please indicate your preference by using the Track Number(s).
See schedule.

**All fields are required, except fax**

Individual Attending

*First Name*
*Last Name*
Membership Number
*Work Phone*
*E-mail*
*Fax*

Track Selections

A.M. Session - First Choice
A.M. Session - Second Choice
P.M. Session - First Choice
P.M. Session - Second Choice

Billing Information

*First Name*
*Last Name*
*Organization*
*Phone*
*E-mail*
*Fax*
*Address*

Payment by Check, Cash or Credit Card

Please submit registration fee of $105 for members and

$130 for non-members, payable to:

AGA - Boston Chapter

Julie Burns
Massachusetts Office of the State Comptroller Room 901 One Ashburton Place Boston, Massachusetts 02108

If you have any question, please contact Julie at (617) 973-2452 or fax at 617-973-2163.
.


If you would like to pay for an Boston Chapter meeting or training event using a credit card, please contact the chapter treasurer, Kelly Lanier, at 781-338-6554 before the date of the training. Do not enter your credit card number on this Web site!