REGIONAL PRIVATE CAREER COLLEGES & SCHOOLS GENERAL REGISTRATION & EXHIBITORS REGISTRATION

CONFERENCE DATE & LOCATION-  
        “Partnership in Growth”


______REGIONS VII & VIII PCCS January 23 & 24, 2012

______REGION IV February 27 & 28, 2012

______REGIONS I, II & III April 16th & 17th, 2012

______REGION V MAY 21 & 22, 2012

(check the Regional Workshop you want to attend)

REGISTRATION
General Registration Fee $200 per person per conference
OR
Exhibitors Only Registration Fee $800 per conference
OR
 Special Exhibitors Registration Fee $2500 for all 4 conferences
(Copy the special exhibitors registration form that is on website – regionspccs.com)
   
PLEASE PRINT PLEASE
Attendees name________________________________________________
Attendees name________________________________________________
Attendees name________________________________________________
Attendees name________________________________________________
Attendees name________________________________________________
Attendees name________________________________________________
Institution or Exhibitors Name____________________________________
Comapny Name______________________________________________

Street______________________________________________________
Town______________________________ State_____ Zip Code________
Phone Number______________________________________________
E-mail______________________________________________print clearly
General Registration attendees_________                                     $_______
Or Exhibitors Registration for one conference or all 4 conferences $_______     

Please make your check payable and mail to:
LARRY PRATHER & ASSOCIATES, INC.
P. O. Box 20896, Wichita, Ks 67208  (316) 682-1838

E-MAIL    larryprather@cox.net      WEB SITE – regionspccs.com