DPSOA 2004 CONFERENCE
 REGISTRATION    October 21-24, 2004

Location: 

Bahia Mar Beach Resort & Conference Center

Ph:     956.761-1343

6300 Padre Blvd.

Toll:   800.99-PADRE

South Padre Island, Texas

Room Rate: $85.00

  

Name: _____________________________________________________________

Address: ________________________________  City:__________    Zip:________

Home#: _________________________               Office#:_____________________

Print your T-Shirt Size: _____________

    

Spouse / Guest Registration:

Name: ______________________________________________________________

Print:  T-Shirt Size: __________________  

     
REGISTRATION FEES:
   Member:   $250 (including spouse/guest)
$300 (after September 1, 2004)
        
 

Non-Member:

 

$350 (including spouse/guest)
$400 (after September 1, 2004)

       
  Associate Member:   Same as Members

It is very important that you get your registration form filled out and mailed in to the address below.  If you are selling "sponsorships", please check below and mail in your completed registration form.  If you are not selling "sponsorships", make your check payable to 2004 DPSOA Conference.  "ALL" registration forms need to be mailed for Conference purposes.

I have enclosed my Registration Form and Check # __________  for $ _____________

  

I have enclosed my Registration Form and I will be selling "Sponsorships" _________

MAIL YOUR REGISTRATION TO:

                                                                2004 DPSOA Conference

                                                                David Menchaca

                                                                P.O. Box 735

                                                                Weslaco, TX  78599

Hotel Registration will be available to make after March 1, 2004

                                800-99-PADRE                                                      Room Rates - $85.00

  

PLEASE MAKE YOUR CHECK PAYABLE TO:  DPSOA 2004 CONFERENCE

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If you have any questions call Kim Farber at the DPSOA Office at
1-800-933-7762 or e-mail us at kim@dpsoa.com