Conference Registration
Conference Schedule

NIPHLE Training Conference
Fort Walton Beach, FL

May 14-17, 2007
Ramada Plaza Beach Resort


To ensure obtaining the NIPHLE negotiated rate, please call the hotel directly at 850-243-9161 and be sure to mention "PHL". Cut off date for reservations is 19 May 2006.
To register for the conference, please use the form below.

 PAY ONLINE NOW WITH YOUR CREDIT CARD

PLEASE NOTE... IF YOU CHOOSE TO PAY ONLINE
YOU MUST ALSO COMPLETE AND SEND IN A
CONFERENCE REGISTRATION FORM (BELOW)
For conference registration, please fill out, print
and mail to:
NIPHLE
177 Fairsom Court
Lewisburg, PA 17837-6844

or email
Dowloadable MSWord Form
to:
niphle@dejazzd.com

or fax either to:
570-523-0606

MEMBER
NON MEMBER
(Includes 1 year membership - a requirement for Conference attendance.)
Amount Enclosed
Gov/Academia
$300
$400
Industry
$600
$720
NIPHLE LIFE MEMBER
$150
Gov/Academia RETIRED $150 $200
Industry RETIRED $150 $210
AWARDS BANQUET GUEST (No. of guests:)
$30/GUEST
$30/GUEST
TABLE TOP SPACE (3' x 6')
Complete Table Top Display Registration Form
NO COST:
REGISTRATION
REQUIRED
$295

Total Amount $

Check enclosed Bill me later American Express MasterCard Visa

Signature
Account # Exp. Date
Conference fee includes: Seminars, tour, continental breakfasts, lunches, Awards Banquet, reception, and symposium report.
Name/Title
Company/Affiliation
Address
City
State/ZIP
Phone/ Fax/Email

Panel Application
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