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2017 ANNUAL PHARMA CONFERENCE REGISTRATION FORM
April 26-28, 2017
Marriott Resort
Hilton Head, SC

Company Name:
Telephone:
Mailing Address:
E-mail:
Name: Title: Spouse:
Name: Title: Spouse:
Name: Title: Spouse:
Name: Title: Spouse:
 
REGISTRATION FEES EARLY BIRD REGISTRATION LATE REGISTRATION
after 4/12/2017
SPA Member Full Conference $795 $995
SPA Member Spouse Registration $395 $595
Non-member Full Conference $1095 $1295
Non-Member Spouse Registration $495 $695
Golf Tournament Participants $175 $175

Registration for spouse includes all receptions and meals. Any attendee joining us for meals or receptions only must be registered and the fee paid prior to the conference. Any cancellations after April 12, 2017 will not be refunded.

 
Golf Tournament

  Participants Handicap
Name:
Name:
Name:
Name:
 
Qty Subtotal
Member Attendees (Late) $995.00 $
Member Spouses (Late) $595.00 $
Non Members (Late) $1,295.00 $
Non Member Spouses (Late) $695.00 $
Golf Tournament Participants $175.00 $
 
Total Fees Due: $


If printing, please send payment info to the following address:
Specialty Pharma Association
6 Office Park Circle, Suite 301, Birmingham, AL 35223