Prima registration information

2018 PRIMA Spring Conference
May 9-11, 2018 – Chicago, IL

REGISTRATION FORM
Name(s):
Station/Company:
Address:
City / State / Zip:
Phone Number:
Email:
Enclosed is payment for _____ registrants.

If Paid By 4/23/18	If Paid After 4/23/18
$275 for PRIMA Members $375 for Non-PRIMA Members	$325 for PRIMA Members $425 for Non-PRIMA Members

Total amount: $________

Payment Info: (No Credit Cards)

• 
  Make check payable to PRIMA and send with this form
  

-- OR --

• 
  Send this form without payment and an invoice will be sent to you
  

Send to:

Regina Dean, PRIMA Treasurer

University of Tennessee
209 Communications Building
Knoxville, TN 37996-0322
Phone: [phone]
FAX: [phone]
E-Mail: [e-mail]

Do you have any dietary restrictions?

How would you like your name to appear on your name tag?