LDA 2010 FNCE Registration Form
Credentials
ADA MEMBER NUMBER
Registration Fees
ADA MEMBER
Select One
Pre Conference - $100
Package 1 = (pre-conference + Monday) - $225
Package 2 = (pre-conference + Tuesday) - $225
Package 3 = (pre-conference + 2 day conference) - $250
Conference Only = (Monday & Tuesday) - $200
One day - $150 (Monday)
One day - $150 (Tuesday)
OR
NON ADA MEMBER
Select One
Pre Conference - $125
Package 1 = (pre-conference + Monday) - $325
Package 2 = (pre-conference + Tuesday) - $325
Package 3 = (pre-conference + 2 day conference) - $350
Conference Only = (Monday & Tuesday) - $275
One day - $225 (Monday)
One day - $225 (Tuesday)
OR
STUDENT/RETIRED
v
Select One
Pre Conference - $75
Package 1 = (pre-conference + Monday) - $125
Package 2 = (pre-conference + Tuesday) - $125
Package 3 = (pre-conference + 2 day conference)- $125
Conference Only = (Monday & Tuesday) - $100
One day - $75 (Monday)
One day - $75 (Tuesday)
Food & Wine Pairing Opening Session
Yes, I am attending Food & Wine Pairing! $15
Special Dietary Needs
Yes, please provide me a vegetarian meal
Share your contact information with FNCE exhibitors
Yes
The LDA office will verify all registrants' ADA Member Status and may contact you after your registration has been processed.
Registration for ANY conference event above includes admission to the Opening Session on Sunday night!
Late fee: After April 2, 2010, an additional $25 is applied to all conference selections.
Refund Policy A refund of the pre-registration fee will be honored if requested in writing by April 2, 2010.
A $25 handling fee will be assessed. No refunds will be given after April 2, 2010.
Special Assistance If you have a disability for which you require special accommodations while attending
the meeting, please contact LDA at (225) 922-4570.
FNCE Materials Program books and ditty bags are distributed to all pre-registrants.
On-site registrants will receive materials on a first-come, first-served basis.
