FSMA REGISTRATION FORM

 

Personal Info

    Member-NonMember,Student

Lunch

Registration & Payment

$ 55.00

$ 45.00

$ 75.00

Non Student $ 65.00

$ 55.00

    MEALS ARE NOT GUARANTEED FOR SAME DAY REGISTRATION.                           

    Note: A $25.00 late fee, to be PAID at the door, will be added to ALL late registrations
    REGISTRATION POSTMARK DEADLINE: 

    Seminar refund policy: A 20% non-refundable fee will be assessed for all cancellations. Request must be received in writing days prior to this event. A fee of $25.00 will be charged for any returned checks.
    Please remember we are a Professional Organization:  Attire: Business Casual
    As part of the FSMA’s reasonable efforts to accommodate the needs of  Conference attendees, and in particular a member who has a severe nut allergy, we respectfully request that you do not bring any nut products into the conference.  Thank you in advance for your anticipated consideration and cooperation in this matter.

All finished?

We're looking forward to seeing you!

Register and pay with PayPal

If you choose to Mail your registration Print this form and

MAIL CHECK PAYABLE TO FSMA WITH COMPLETED FORM TO:
 
Mary Lou Allison, CMA-C (AAMA)
825 Center St. Apt 19C                                                                 
Jupiter, FL 33458