On-Line Workshop Registration

CAWPCA ON-LINE
WORKSHOP REGISTRATION FORM
$60 pp - Includes buffet breakfast

* Indicates required field

Workshop includes entry and breakfast buffet *

$60 - One Workshop Admission I am a Corporate Signature Sponsor (One admissions included per workshop.) I am a guest speaker (complementary)

# attending in your organization *

Total Amount Due $ *

Are you a first time attendee? *

Yes No

Billing Contact Email *

Billing Contact Phone *

Billing Address *

Line 1

Line 2

City

State

Zip Code

Country

Organization / Company / Town / WPCA *

Please provide names for each of your attendees. This information will be used for printing name tags to be picked up at the registration table the day of the event.

Attendee Name 1 *

First

Last

Email *

Attendee Name 2 *

First

Last

Email *

Attendee Name 3 *

First

Last

Email *

Attendee Name 4 *

First

Last

Email *

Attendee Name 5 *

First

Last

Email *

PLEASE PRINT THIS PAGE PRIOR TO HITTING THE SUBMIT BUTTON IF YOU REQUIRE A COPY FOR YOUR RECORDS.

SUBMIT

YOUR REGISTRATION WILL BE RECEIVED BY THE TREASURER OF THE CAWPCA AND AWAIT PAYMENT. PROMPT PAYMENT VIA CHECK TO THE FOLLOWING ADDRESS IS GREATLY APPRECIATED!

CAWPCA ℅ NEWEA
10 Tower Office Park
Suite 601
Woburn, MA 01801

Questions please call: Janice Moran 781-939-0908

BECOME A CORPORATE SPONSOR OF OUR WORKSHOP

﻿﻿﻿﻿﻿﻿﻿ ﻿﻿﻿CAWPCA ON-LINEWORKSHOP REGISTRATION FORM $60 pp - Includes buffet breakfast

CAWPCA ON-LINE
WORKSHOP REGISTRATION FORM
$60 pp - Includes buffet breakfast