Specialty Pharma Association

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2010 Spring Registration

SPRING CONFERENCE REGISTRATION FORM

APRIL 27-29, 2010

RENAISSANCE HARBORPLACE HOTEL

BALTIMORE, MARYLAND

Company Name:
Telephone:
Mailing Address:
E-mail:

Name:	Title:	Spouse:
Name:	Title:	Spouse:
Name:	Title:	Spouse:
Name:	Title:	Spouse:
Name:	Title:	Spouse:

The fee for this conference is $595 for each member attendee plus $295 for each member spouse. The spouse fee includes all receptions and meals. Non member fee is $795 per attendee and $395 for non member spouses. The fee for the Golf Tournament is $175 per player. Any registrations received after April 9, 2010 will be subject to $200 per person additional charge. Any attendee joining us for meals or receptions only must be registered and the fee paid prior to the conference.

Golf Tournament
	Participants	Handicap
Name:
Name:
Name:
Name:
Name:
Name:

Please make your check payable to the Specialty Pharma Association and mail this form with your check no later than April 9, 2010.

	Member Attendees $595.00	$
	Member Spouses $295.00	$
	Non Members $795.00	$
	Non Member Spouses $395.00	$
	Golf Tournament Participants $175.00	$

Total Fees Due:		$