American Public Transit Association

American Public Transit Association

AMERICAN PUBLIC TRANSPORTATION ASSOCIATION

2016Marketing & Communications Workshop

Phoenix, AZ

February 28–March 2, 2016

Renaissance Phoenix Downtown

MEETING REGISTRATION FORM

Member Registration: Your fee for the entire 2016Marketing & Communications Workshop is $550per person if payment is received by APTA on or before January 15, 2016. After January 15, the registration fee is $600 per person.

Non-member Registration: Non-members may register for $1100 per person. This fee is the standard registration fee plus $500 (Applied to dues ifyou join within three months). Call APTA's Membership Department202-496-4800 for details.

Important Dates:

Early Fee ends – January 15

Pre-registration ends – February 22

Refund Deadline – January 29

Future conference credit deadline (illness or emergency only) – March 14

Registration fees will be refunded if a request is received in writing no later than January 29, 2016. A 20% cancellation fee will be withheld. There will be no refunds after the January 29thdeadline. In the event of a serious illness or emergency, you may qualify to have the registration fee, minus a 20% processing fee, applied to a future meeting registration (must be used within one year) if a request is received in writing no later than March 14, 2016. There will be no credits after the March 14th deadline. You may transfer your registration at any time without penalty to another person in your organization attending the Marketing & Communications Workshop.

To Register Online: Access the 2016Marketing & Communications Workshopat

FEES Enclose appropriate fee made payable to APTA. Registrations will not be processed without payment.
 $550per person (on or before 1/15/16)  $600per person (after 1/15/16)  $1,100 per person for non-members

 $125 per person Spouse/Guest Fee (includes Welcome Reception, Networking Reception and Marketing Exchange)
This form is only accepted from those paying by CHECK ONLY. For those paying via credit card, please register online at
BADGE INFORMATION
NOTE: Please complete registrant badge information carefully to avoid incomplete/incorrect information. Attach additional list if necessary.
1.______
Name ______
Nickname ______
Title ______
Company ______
Address ______
City, State, Zip ______
Tel ______
Email
Is this your first time attending the APTA Marketing & Communications Workshop? Yes No
Have you attended the APTA Marketing & Communications Workshop in the past three years? Yes No
______
Please indicate if you have any disability for which you will require special accommodations
______
Spouse/Guest (fee applies - if attending) (Not applicable to fellow employees or industry professionals) / 2.______
Name ______
Nickname ______
Title ______
Company ______
Address ______
City, State, Zip ______
Tel
______
Email
Is this your first time attending the APTA Marketing & Communications Workshop? Yes No
Have you attended the APTA Marketing & Communications Workshop in the past three years? Yes No
______
Please indicate if you have any disability for which you will require special accommodations
______
Spouse/Guest (fee applies - if attending) (Not applicable to fellow employees or industry professionals)
SUBMITTED BY (if different from registrant):
Name:______Company:______
Tel:______Email:______