Online Registration Form

March 26-28, 2010
Fifth Annual GFIA Conference
Lexington, Texas, USA


Use this form if you would like to register online and pay with PayPal. After you submit the form, you will be directed to a page where you will complete your secure PayPal payment.


Personal Information:

* = Required Field

Name(s) *

Street Address *
Address (cont.)
City *
State/Province *
Zip/Postal Code *
Country *

Cell Phone #
Other Phone #
E-mail Address *

Options:

Number of people attending:

Members @ $35 per person (entire conference)
Nonmembers @ $45 per person (entire conference)
1-Day Only - Members or Nonmembers @ $16 per person

Fee includes participation in all conference activities, lunches on Friday and Saturday.
Call 979-773-9100 or email us for special requests, such as children attending.


Do you need help with:

~ a ride from the airport?

Yes
No

~ finding a roommate?

Yes
No


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