REGIONS PCCS ONLINE REGISTRATION

Like the Old fashioned way!
Well, this form is for you! (click here!)

Registration online is easy, just fill out this and press the submit button when you are finished.

MAIL YOUR CHECK AND A COPY OF THIS COMPLETED REGISTRATION
Please make your check payable to:

LARRY PRATHER & ASSOCIATES INC.
P.O.Box 20896,
Wichita, Kansas 67208 
316-682-1838
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
(Special Exhibitors Registration Fee Due before January 15th, 2011,
fill in attendees each conference)

Please Check Conference you are attending

Order Number: 020612060315

REGIONS VII & VIII PCCS January 23 & 24, 2012
26th Annual Workshop THE EMBASSY SUITES HOTEL
NEAR THE KANSAS CITY AIRPORT
7640 N. W. Tiffany Springs Parkway, Kansas City, Mo. 64153
Reservations Phone  (816) 891-7788 Fax 816-801-2229
Click here for online Hotel Registration (after submitting this form)

REGION IV February 27 & 28, 2012
HILTON ATLANTA AIRPORT1031 VIRGINIA AVE., ATLANTA, GA 30354 (404) 559-680530344 Near the Hartsfield-Jackson Atlanta Int’l Airport – Shuttle service is provided
Phone (404) 559-6805
Click here for online Hotel Registration (after submitting this form)

REGIONS I, II & III April 16th & 17th, 2012
Hilton Philadelphia Airport
4509 Island Ave. Philadelphia, Pa 19153
Phone (215) 365-4150 Fax 215-937-4535
Click here for online Hotel Registration (after submitting this form)
REGIONS I, II & III April 16th
NO BASEBALL GAME IN PHILADELPHIA 2012
REGION V MAY 21 & 22, 2012
Indian Lakes Resort 250 W. Schick Road, Bloomingdale, IL.60108
PHONE (800) 334-3417
Special transportation with A-1 Limo Phone 800-354-5849 O’Hare or Midway
Click here for online Hotel Registration (after submitting this form)
WE WOULD LIKE TO ATTEND THE SPECIAL TRAINING SESSION ON MONDAY AT 7:00PM IN THE HOTEL AT ONE OF OUR MEETING ROOMS ON GAINFUL EMPLOYMENT DEBT MANAGEMENT & DEFAULT PREVENTION, IT WILL BE A WORKING DINNER (PIZZA)


Attendee Name:
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Institution or Exhibitors Name
Address
City State Zip Code
Phone Number Fax
E-mail
Total General Registration attendees                      $
Or Exhibitors Registration for one conference or all 4 conferences $     

Baseball Game Tickets NO BASEBALL GAME IN PHILADELPHIA 2012    


MAIL YOUR CHECK AND A COPY OF THIS COMPLETED REGISTRATION
Please make your check payable to: :

LARRY PRATHER & ASSOCIATES INC.

P. O. Box 20896, Wichita, Ks

Wichita, Ks 67208 

316-682-1838

E-mail larryprather@cox.net Web Site – regionspccs.com