RPMDA Convention Registration

2005 Dealer OR Non-Exhibitor
Registration Form

EARLY BIRD REGISTRATION FEE of $195 for the first representative from your company and $180 per person for each additional representative (U.S. funds) MUST BE RECEIVED IN THE RPMDA OFFICE BY APRIL 13, 2005. After that date, registration will be $225 for the first representative, and $210 per person for additional representatives. The registration fee includes admission to sessions, continental breakfasts each morning, Thursday and Friday luncheons, and the Saturday night banquet. Additional banquet and luncheon tickets may be purchased for guests at the registration desk when you arrive to pick up your convention packet. Your company must be a member of RPMDA to register for the convention. No refunds for cancellations after April 20, 2005.

TRAVEL INFORMATION: The registration desk opens at noon on Wednesday, and the annual business meeting begins at 5:15 p.m., followed by the opening night reception. New member orientation is Wednesday, 4:15-5:15 p.m. Sessions begin as early as 7:15 a.m. on Thursday with a bonus educational presentation, and the convention ends with a banquet on Saturday night.

HOTEL INFORMATION: Download the hotel reservation form (pdf format) to reserve your room at Beau Rivage Hotel in Biloxi, Mississippi.

Attendee Information
First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Fax
E-mail
Names of convention attendees (please check box if this is the first time to attend an RPMDA convention). Indicate beside name if attendee has any special dietary requirements or other special needs:

Payment Information
Payment in U.S. funds payable to RPMDA must accompany this contract. Either print and mail this form with payment, or enter your credit card information using our secure server.
Membership Dues (Pay if not already a member)	$195
Early bird convention registration for first person	$195
Early bird registration for additional representatives	$180 ea.
Convention registration for the first representative after April 13, 2005	$225
Convention registration per person for additional representatives after April 13, 2005	$210 ea.
Optional pre-convention tour of New Orleans’ French Quarter (includes transportation, admission fees and lunch.)	$75 ea.
Optional Thursday evening at the Beau Rivage Theater, followed by a dessert reception (dinner on your own)	$39 ea.
Total

Payment Method
	MasterCard
	Visa
	American Express
	Check (print this form and mail with payment)
Credit Card #:
Expiration date (month/year):
Name on card:

If paying by check, print this form and mail it to:

RPMDA
13140 Coit Road Suite 320, LB 120
Dallas, TX 75240-5737
Phone 972 233-9107 x204
Fax 972 490-4219
[email protected]

Questions? Call Madeleine Crouch at 972-233-9107 x204.

Copyright � 2001 Retail Print Music Dealers Association
13140 Coit Road Suite 320, LB 120 . . . Dallas, TX 75240-5737
Phone 972 233-9107 x204 . . . Fax 972 490-4219