Please provide the following contact information:

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Enter the date:

-- mm/dd/yy

To qualify for the member rate you must be a member of AMTA

Select any of the following options that apply:

Regular Registration ($150 Member)          Regular Registration ($200 Non-Member)     
                        Regular Student Registration ($75)

Please check if you are planning on attending the dinner on Thursday and/or the Luncheon on Saturday

I will be attending the dinner on Thursday Evening    I will be attending the Luncheon on Saturday Afternoon

Please check if you are planning on bringing a guest to the dinner on Thursday and/or the Luncheon on Saturday

Guest Dinner 3/25/2010 - $25      Guest Luncheon 3/27/2010 - $30

CMTE Course A (free to AMTA members)   CMTE Course B REGISTRATION FOR THIS CMTE IS NOW CLOSED

CMTE Course C ($50 professional)   CMTE Course D ($75 professional)

CMTE Course E ($75 professional)   CMTE Course F ($75 professional)

I will be paying:

         Via Paypal       Via Check   

(Please indicate who will be the payer on the check)

For assistance with a W9, invoice, or refund, please contact our treasurer at treasurer@swamta.com.

Special Needs