2005 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 22, 2005 Breakout Sessions by Firm Size (must be selected) A B C D E F Lunch & Learn Sessions (must be selected) G H I J K L Breakout Sessions (must be selected) M N O P Thursday, June 23, 2005 User Group Breakfasts (must be selected) Q T AM Breakout Sessions (must be selected) U V W PM Breakout Sessions(must be selected) X Y Z Fees - Check the Applicable Fees On or Before 4-18-05 After 4-18-05 Full Member Registration $695 $795 2nd or 3rd Person From The Same Member Firm $595 $695 Full Non-Member Registration* $795 $895 Package (Includes full registration and one year membership) $870 $925 Spouse/Guest Registration** $75 $75 Additional Wild West Event Tickets Qty $75/ticket Qty $75/ticket One day Registration*** Wednesday or Thursday $400 $450 Accounting Technology Administrator's Fly-In^ $299 $299 Vendor Member Registration**** $650 $750 Vendor Non-Member Registration**** $750 $850 * Join AAA at the time of registration and the $25 initiation fee will be waived and member rates will apply! ** Spouse/Guest Registration includes Tuesday's reception and Wednesday's Wild West event. *** 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. Registration includes Tuesday's reception and the ability to extend your stay and participate in all scheduled meals and sessions on Wednesday, June 22. Payment Charge my Mastercard or Visa. Credit Card Number: Expiration Date: Hotel Reservation All events will take place at the DoubleTree Paradise Valley Resort, 5401 North Scottsdale Road, Scottsdale, AZ 85250. Reservations received after May 20, 2005 will be accepted on a space and cost availability basis only. AAA's preferred rate is $79.00 per room per night plus tax (currently 7.7%) for single or double occupancy. The group rate has been extended three days pre and three days post the event for those wishing to spend a few days in the Scottsdale/Phoenix area. 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 Blanche 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