FCPNY 2012 Super Conference

2012 Super Conference Registration
March 18 & 19, 2012
Turning Stone Conference Center
Verona, New York

INVESTMENT

CPAN Members
Send 5 Members FREE!

Sending more than five?
$25.00 per person (includes meals)

Non-CPAN Members
$75 per person
(Fee includes meals, activities with group & training sessions)

* = Required
First Name	*
Last Name	*
Your Position Title	*
Company Name	*
Address	*
City	*
State	*
Zip	*
Telephone	*
Fax
Email	*
Email again	*
Website

List Each Attendee CPAN Members - 5 Attend FREE! (NON-CPAN Members $75 per person )
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012
Attendee # 2
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012
Attendee # 3
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012
Attendee # 4
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012
Attendee # 5
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012

Additional Attendees (CPAN Members add $25** for each additional attendee) (includes meals)

Attendee # 6 **
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012
Attendee # 7 **
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012
Attendee # 8 **
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012

Attendee # 9 **
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012

Attendee # 10 **
Full Name
Title
Email Address
Attending Sunday		Lunch and General Session - Sunday, March 18, 2012 Sales and Classifieds Track - Sunday, March 18, 2012 Graphics Track - Sunday, March 18, 2012 Publishers Track - Sunday, March 18, 2012 Dinner and Awards Presentation - Sunday, March 18, 2012
Attending Monday		Breakfast - Monday, March 19, 2012 Sales and Classifieds Track - Monday, March 19, 2012 Graphics Track - Monday, March 19, 2012 Publishers Track - Monday, March 19, 2012


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