New Mexico Fall Workshop Registration

Fall Workshop Registration

*Denotes required fields.

First Name*

Last Name*

Firm

Address Line 1*

Address Line 2

City*

State*

Zip Code*

Home Phone

Work Phone*

Email Address*

Website

Are you a member of PPANM?

Yes

No (Sign up now and start getting your member discount today!)

Are you a member of Professional Photographers of America?

Yes - PPA Number

No

Member Registration:

David Crossley on Sat. Oct. 24, 2009 - $99.00

Jen Basford on Sun. Oct. 25, 2009 - $99.00

Both Days - David Crossley & Jen Basford - $149.00

Non-Member Registration:

David Crossley on Sat. Oct. 24, 2009 - $149.00

Jen Basford on Sun. Oct. 25, 2009 - $149.00

Both Days - David Crossley & Jen Basford - $199.00

All lodging, transportation, and food expenses (aside from lunch) to be paid by Participants.

No partial payments allowed, no refunds.
Please submit a separate form for each person attending.
PPANM reserves the right to refuse convention registration to non-members.
Please note that the information provided will be used for the membership listing at PPANM.com and in the handbook.