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2018 AAPIO Semi Annual Gala
Start date : February 09, 2018
End date : February 09, 2018

First Name*:
Last Name*:
Email*:
Address:
City:
State:
Phone (e.g. 5554441212):
Cell Phone (e.g. 5554441212)*:
Are you a current AAPIO member?*:
If you are registering for a Table for 10, please provide the names of the guests.:
 
 
 
  *EVENT REGISTRATION OPTION
 
SrNoOptionSelectCost
31153500Table for 10 (AAPIO member): Early bird: $350 (on or before Jan. 31, 2018)350.00
31153506Couple (AAPIO Member): Early bird: $7575.00
31153507Individual (AAPIO member): Early bird: $4040.00
31153508Non-Member: Early bird: $5050.00
3115disabled3518Table for 10 (AAPIO member): Regular: $400 (After Jan. 31, 2018)400.00
3115disabled3519Couple (AAPIO Member): Regular: $9090.00
3115disabled3520Individual (AAPIO member): Regular: $5050.00
3115disabled3521Non-Member: Regular: $6060.00

  ADDITIONAL OPTIONS

OptionHow manySelectCost
31153509Guest: Early bird: $50 (on or before Jan 31, 2018)050.00
3115disabled3522Guest: Regular: $60 (After Jan. 31, 2018)060.00
31153523Child (12 years and under): $25025.00
 
                                                                                              Total    
 
 
 
  *PAYMENT METHOD
 
Enter Name on Credit card* :
 
 
 PAYMENT TERMS
Please note that no refunds on cancellation will be issued.
 
 CANCELLATION TERMS