2006 Practice Management Conference 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: Breakout Session Selection - Check session you will attend; See schedule for topics Tuesday, June 20, 2006 I will attend the First Timer's Forum Wednesday, June 21, 2006 Breakout Sessions by Firm Size (must be selected) A B C D E F G Lunch & Learn Sessions (must be selected) H I J K L M N Breakout Sessions (must be selected) O P Q R Thursday, June 22, 2006 AM Breakout Sessions (must be selected) S T U V PM Breakout Sessions(must be selected) W X Y Z Fees - Check the Applicable Fees On or Before 4-18-06 After 4-18-06 Full Member Registration $745 $845 2nd or 3rd Person From The Same Member Firm $645 $745 Full Non-Member Registration $845 $945 Package (Includes full registration and one year membership) $920 $1020 Spouse/Guest Registration Guest/Spouse's Full Name: $99 * $99 * Additional Tickets for AAA’s Evening at the Artsgarden Qty $75/ticket Qty $75/ticket * A ticket for the Evening at the Artsgarden is included in the full registration package. One day Registration Wednesday or Thursday $325 ** $325 ** Accounting Technology Administrator's Fly-In $299 ^ $299 ^ ATA Fly-In Second Day Registration $100 $100 Human Resources Fly-In $299 ^ $299 ^ HR Fly-In Second Day Registration $325 $325 Vendor SIG Member Registration $700 *** $800 *** Vendor Non-Member Registration $800 $900 * Spouse/Guest Registration includes Tuesday’s reception and Wednesday’s Evening at the Artsgarden 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 firms with a full Conference registrant. Registration includes Tuesday’s reception and the ability to extend your stay and participate in all scheduled meals and sessions on Wednesday, June 22 for the additional day fee. Payment Note that any reductions in registration fees for Fly-Ins are not reflected in the total below. Reductions will be made prior to AAA processing the total charge. Total Fees: $ Check (make payable to AAA and mail to: 136 South Keowee Street, Dayton, OH 45402) Charge my Mastercard or Visa. Credit Card Number: Expiration Date: Hotel Reservation I do not need a hotel reservation. All hotel reservations must be made through the Association for Accounting Administration. All scheduled educational events will take place at the Westin Indianapolis, 50 South Capitol Avenue, Indianapolis, IN 46204. Reservations received after May 22, 2006 will be accepted on a space and cost availability basis only. AAA's preferred rate is $129.00 per room per night for single/double occupancy plus tax (currently 12%). The group rate has been extended three days pre and three days post the event, based on availability for those wishing to spend a few days in the Indianapolis 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: Use same credit card as indicated for registration fees for hotel reservation guarantee. 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
Additional Tickets for AAA’s Evening at the Artsgarden
ATA Fly-In Second Day Registration
Human Resources Fly-In
HR Fly-In Second Day Registration
* Spouse/Guest Registration includes Tuesday’s reception and Wednesday’s Evening at the Artsgarden 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 firms with a full Conference registrant. Registration includes Tuesday’s reception and the ability to extend your stay and participate in all scheduled meals and sessions on Wednesday, June 22 for the additional day fee.