READ REGISTRATION NOTES

FILL IN THE FORM

A. PERSONAL INFO     (Required fields in bold face)
First Name
Last Name
Preferred first name on name tag
Guest's name (if attending)
County/REC/Dept
Address
City		State		Zip
Title
E-mail address
Buena Vista Confirmation Number required for registering for conference
	Within 50 Mile Radius Daily Registration Only
	Pay Facilities Fee ($100)

B. CHECK APPROPRIATE SPACE(S):
FACAA	FEAFCS	FAE4-HA	ESP	FANREP
Officer	Award Recipient	New Member	State Faculty	First Time Attendee
County Faculty	Exhibitor Only	Guest	Retiree

C. FULL SESSION PACKAGE REGISTRATION Includes General Sessions, all Educational Workshops, Opening Session, Exhibits, Awards Breakfast, Retirees’ Luncheon and Memorial Service, 4-H Hall of Fame Induction, DSA Banquet, Friends of Extension Luncheon, EPAF Auction and Dinner, Dean’s Administrative Conference/Breakfast.  Does not include optional FACAA Educational Foundation Workshop.
	Check Desired Options (prices listed in right-hand columns)	Early Postmark by July 14th with check or online payment	Late Postmark by July 28th with check or online payment	Postmark or online payment after July 28th or On-Site Registration
FULL SESSION REGISTRATION (PER PERSON)		$275.00	$300.00	$325.00
D. DAILY REGISTRATION (If you have registered full session package, skip this section)
Monday, August 11 - EPAF Board Meetings, Opening Session & Awards Presentation		$20.00	$45.00	$70.00
Tuesday, August 12 - EPAF Association Membership Meetings, Awards Breakfast, Retirees’ Luncheon & Memorial Service, 4-H Hall of Fame Induction, DSA Banquet		$155.00	$200.00	$230.00
Wednesday, August 13 - Abstract Presentations, Friends of Extension Luncheon, Exhibits/Agent Display, Dinner/Auction		$125.00	$140.00	$165.00
Thursday, August 14 - Breakfast and Dean’s Administrative Conference		$40.00	$65.00	$90.00
E. ADDITIONAL OPPORTUNITIES (NOT INCLUDED IN FULL SESSION REGISTRATION)
Wednesday, August 13 - FACAA Educational Foundation Workshop (FACAA Members Only)		$35.00	$40.00	$45.00

F. SPECIAL MEAL REQUESTS: (must be submitted with this registration)
Vegetarian Meals
Diabetic Diet
Other (specify)
G. ADDITIONAL MEAL TICKETS FOR SPOUSE OR GUEST:(only for tickets in addition to registration)
Monday Opening Session & Awards	x $20.00	Wednesday FACAA Foundation Workshop	x $35.00
Tuesday Awards Breakfast	x $40.00	Wednesday Friends of Extension Luncheon	x $55.00
Tuesday Retirees’ Luncheon, Memorial Service & 4-H Hall of Fame Induction	x $50.00	Wednesday Dinner & Auction	x $60.00
Tuesday DSA Banquet	x $65.00	Thursday Breakfast & Admin Conference	x $40.00
H. NON-MEAL REGISTRATION
Enter number of days	@ $50.00 per day

CALCULATE AMOUNT PAYABLE

If the total does not update automatically, click the Calculate button to display the amount payable.
Full Session Registration(s)	$
Daily Registration(s)	$
FACAA Foundation Workshop(s)	$
Non-meal Registration ($50.00 per day)	$
Additional Meal Tickets for Spouse or Guest	$
Hotel Facilities Fee (if staying off-site)	$
TOTAL	$

+	Click Here for 4-H Golf Classic Registration

PRINT A COPY OF COMPLETED REGISTRATION FOR YOUR RECORDS
and
SUBMIT REGISTRATION AND CHOOSE PAYMENT OPTIONS

A $50.00 fee will be charged for all refund requests after July 14, 2008. Refunds within one week prior to conference will be reduced by 50%. Once conference begins, no refunds will be issued. A $30.00 charge will be assessed on checks returned for insufficient funds.