PRAM Public Relations Association of Mississippi Registration Form

Registration Online - 2 Part Form

The First Part of the Form gives us information about you so we can register you to the conference, create your name tag and have every thing ready for you when you arrive.

The Second Part of the Form allows you to pay on line for your convienence. Registering online is quick and easy. We are using PayPal to save PRAM money. So please take the time to sign up for authorization to use your credit card through PayPal.

The form below is designed to register one person for this event. To register more than one person, please fill out the form again.

CANCELLATION POLICY: All cancellations must be made by April 1 and by using the cancellation form posted on the PRAM web site for full refund.

PART 1 - REGISTERING ON LINE

Full Name:
Name for Badge (if different):
Have you earned the APR designation?	Yes No
Company:
Mailing Address:
City:
State:
ZIP Code:
Daytime Phone:
Fax Number:
E-mail Address:
Membership:	SPRF Member Non-Member
Chapter Membership:
SUBMIT THIS SECTION. THEN FILL OUT PART TWO