AMERICAN PUBLIC TRANSPORTATION ASSOCIATION
2013 BUS & PARATRANSIT CONFERENCE
Indianapolis, IN
May 5 - 8, 2013
MEETING REGISTRATION FORM
Member Registration: Your fee for the entire 2013 Bus & Paratransit Conference is $625 per person if payment is received by APTA on or before March 29, 2013and after March 29 the registration fee is $675 per person.
To Register Online: Access the 2013 Bus & Paratransit Conference at
.
Important Dates:
Early Fee ends – March 29, 2013
Refund Deadline – April 5, 2013
Pre-registration ends – April 30, 2013
Registration fees will be refunded if a request is received in writing and post-marked no later than April 3, 2013. A 20% cancellation fee will be withheld. There will be no refunds after the April 3rd deadline. 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 conference (must be used within one year).You may transfer your registration fee at any time without penalty to another person in your organization attending the 2013 Bus & Paratransit Conference.
Non-member Registration: Non-members may attend for a special fee. The special fee is the late registration fee plus $500 (Applied to dues if you join within three months). Call APTA's Membership Department 202-496-4800 for details.
PAYMENTPlease fill in this section. Enclose appropriate fee made payable to APTA. Registrations will not be processed without payment.
$625 per person (on or before 3/29/13) $675 per person (after 3/29/13) Non-member $1,175 per person
$125 per person Spouse/Guest Fee (includes Welcome Reception, Bus Display Lunch, Product Showcase Lunch)
Checkpayments only
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: ______
Fax: ______
E-mail ______
Spouse/Guest (if attending)(not applicable to fellow employees or other industry professionals) / Bus Roadeo Awards Banquet Tickets
The International Bus Roadeo Awards Banquet will be held Tuesday, May 7th from 7:00 – 9:00pm. If you would like to attend you must purchase a ticket.
______Tickets at $75 a piece = ______
If you would like to sit with your Roadeo Team please indicate this and your invitations will be filed with the Roadeo Team’s Registration packet so they can get you assigned seating at their table. Or you can have your invitation filed with your Bus Conference Registration Packet.
File with my Roadeo Team’s Registration Packet
File with my Conference Packet
SUBMITTED BY:
Name______
Company______
Address______City, State, Zip______
Tel:______Fax:______
Please indicate if you have any disability for which you will require special accommodations:______