2004 National Symposium Registration Form Fill out this form completely for both registration and hotel reservations Registrant Information Name: Firm: Address: City: State: Zip: Telephone: Fax: E-Mail: Number of AAA Conferences Attended: Years of Experience as an Administrator: Size of Firm: Guest's Name: Breakout Session Selection - Check session you will attend; See schedule for topics Wednesday. June 23, 2004 Breakout Sessions by Firm Size(must be selected) A B C D E Lunch & Learn (must be selected) F G H Breakout Sessions I J K L Thursday, June 24, 2004 Rise and Shine Breakfasts (must be selected) M N Breakout Sessions O P Q R Lunch & Learn (must be selected) S T U V Breakout Sessions W X Y Z Friday, June 25, 2004 Rise and Shine Breakfasts (must be selected) AA BB Fees - Check the Applicable Fees Before1-17-04 1-17 to4-16-04 After 4-16-04 AAA Member Registration $595 $695 $750 2nd or 3rd Person From The Same Member Firm $495 $595 $650 Package (Includes full registration and one year membership) $770 $870 $925 Non-Member Registration* $695 $795 $850 Spouse/Guest Registration** $75 $75 $75 One day Registration*** Wednesday or Thursday $325 $350 $395 Accounting Technology Administrator's Fly-In^ $299 $299 $299 Baseball Game St. Louis Cardinals vs. Chicago Cubs Qty $20/ticket Qty $20/ticket Qty $20/ticket Vendor Registration (member)**** $600 $650 $700 Vendor Registration (non-member)**** $700 $750 $800 * Join AAA at the time of registration and the $25 initiation fee will be waived and member rates will apply! ** Spouse/guest registration includes Wednesday's Welcome Reception and Thursday's Dinner Party. *** One-day fee includes all scheduled activities and meals on the day selected. **** Vendor registrations include a table top display throughout the event. ^ Fee is reduced to $199 for ATA SIG members and/or full Symposium registrants. Payment Charge my Mastercard or Visa. Credit Card Number: Expiration Date: Hotel Reservation All events will take place at the Adam’s Mark Hotel, Fourth and Chestnut Streets, St. Louis, Missouri. Reservations received after May 22, 2004, will be accepted on a space and cost availability basis only. AAA's preferred rate is $129.00 per night per room for single or double occupancy plus applicable taxes (currently at 14.8666%). 1. Complete the form fields below. A confirmation will be sent to you directly from the Association within three weeks after receipt of this form. 2. Indicate your choice of accommodations. All changes should be made directly with the Association for Accounting Administration office. 3. Send this form with the credit card payment for guarantee purposes to the AAA National Office. One night's accommodations will be charged as a deposit. Deposits are refundable if AAA is notified of any cancellations at least 96 hours in advance of arrival date. Indicate your reservation choice: Single Double -- Share with: Occupant(s): Arrival Date: Departure Date: Smoking Non-Smoking Would like a roommate (a member of the AAA staff will contact you prior to rooming) Special Requests: Guarantee method: Charge my American Express Discover Master Card Visa Carte Bianche Card Number: Expiration Date: Association for Accounting Administration 136 South Keowee Street Dayton, OH 45402 (937) 222-0030 Fax (937) 222-5794 aaainfo@cpaadmin.org
