Please fill out the information below to successfully register for this event. To download the printable version of the Mid Year Meeting form, click here.

CSPA 2006 MID-YEAR MEETING
May 9-12
Marriott Downtown
Chicago, Illinois
540 North Michigan Avenue
Chicago, Illinois 60611
* Prefix Dr. Mr. Ms.
* First Name
* Last Name
* Email
Title
* Company
Address
City
State
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Telephone
Fax
Please select who will be attending this conference. Individual
Individual w/Spouse
* Registration Fees
Please check one.

$745.00 - Full Registration (Before April 17, 2006)
$695.00 -Partial Registration (Before April 17, 2006)
$425.00 -Daily Registration
$200.00 -Spouse Registration
$125.00 -Innovention Day Only


* Credit Card Type
* Credit Card Number
* Name on Card
* Expiration Date