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Name |
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Email Address |
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Company/Organization Name |
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Work telephone |
(xxx)xxx-xxxx
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Are you an FPRA member? |
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Will you bring a guest? |
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How many guests |
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Event Cost |
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Method of Payment
Please make check payable to “Florida Public Relations Association” |
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If your method of payment is credit card please fill out the information below:
Card Type:
Name on card:
Cardholder's Address:
State:
Zip Code:
Card Number:
CVC Number:
Exp. Date:
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Request Vegetarian Meal
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(Please only click Register once, form may take up to 45 seconds to process)
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Cancellations received within 48 hours of the event and no-shows will be billed. |