VIRGINIA STATEWIDE PAYROLL CONFERENCE
SPEAKER REGISTRATION FORM
OCTOBER 16 & 17, 2008


Speaker registration includes continental breakfast, lunch, and the Thursday evening social event. You may choose to attend any or all of these events. Hotel accommodations are the responsibility of the speaker. Click here if you need to make a reservation. Use Group Code : PAYPAYA (all alpha) for non government rate and PAGPAGA (all alpha) for government rate.


*Indicates required field.
Company Name:*
First Name, Last Name:*
Title:*
Address:*
Address(2):
City, State, ZIP:*
Daytime Phone:*
E-mail:*
Website Address:


The following information will help us ensure your needs are met for the conference.
  • Will you be staying at the hotel during the conference?*
         Yes      No

  • If you are staying at the hotel, do you have any special needs?


  • We would like to invite you to attend a speaker's pre-conference Wednesday evening dinner, October 15, 2008. Location and time will be provided at a later date. Will you be joining us?* (No charge for speakers.)
         Yes      No

  • If you will be joining us for lunch on Thursday, would you prefer chicken or the vegetarian entree? (No charge for speakers. Please consider coming even if you only present that morning.)
         Chicken      Vegetarian

  • We hope you will join us for our Thursday night dinner/social. The entertainment we have planned will offer many fun opportunities for you to socialize with conference attendees. Will you be joining us?* (No charge for speakers.)
         Yes      No

  • We offer a wonderful Breakfast on Friday morning for those arriving early or staying over from Thursday night. Will you be joining us?* (No charge for speakers.)
         Yes      No

  • Do you have any special needs for your presentation?
    audio/visual equipment
    digital projector
    electrical service
    flipcharts
    markers
    other special needs (if any):




Will you be bringing any guests with you who will want to attend the breakfast, lunch, or social events?
Guest fees (per guest): Breakfast = $16,    Lunch = $29,    Social = $75
    

    
© copyright 1998 - 2008 Richmond Chapter of the American Payroll Association
site designed by interseps