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PSE National Convention

PSE National Educational Foundation
Sales & Marketing Convention Registration Form
March 26-30, 2008 - Dallas, TX.
Click here for a printable registration form that can be faxed to 414-328-1953 or mailed to: PSE; 3747 S. Howell Ave.; Milwaukee, WI 53207.

PERSONAL INFORMATION:

The way you enter your name is how it will be printed on your name tag.
First Name:
Last Name:
School:
Company:
Address:
City:
State:
Zip:
Cell Phone:
Email:

MEMBERSHIP INFORMATION:
Membership:
Check all that apply
Pi Sigma Epsilon Mu Kappa Tau
PSE Life Member
Membership Type:
Year in School: Collegian Members
Expected Graduation Date:
PSE Officer Position:
Job Title:
Employer:
First Year You Attended a PSE Convention:

SPECIAL REQUESTS:
Vegetarian Meals:
 Yes    No
Sign Language Interpreter:
 Yes    No
I am planning to compete in the Pro-Am Sell-a-Thon
 You must register online to participate
I am planning to attend the Certified Chapter Officer Program Yes    No
Position to be trained
I am a diamond level CCO Member Yes    No

EMERGENCY INFORMATION: Must be completed

Emergency Contact:
Emergency Contact Phone:
Medical Condition:
List any medications you are allergic to:

CREDIT CARD INFORMATION:

Credit Card: Visa Mastercard American Express
Credit Card Number:

Name on Card

Card Expiration:

REGISTRATION FEES:

$275 - PSE/MKT members in good standing whose registrations are paid on-site, faxed, or post-marked after February 22, 2008.
$390 - Guest registration fee for guest registrations paid on-site or faxed or post-marked after February 22, 2008.
$50 - Saturday March 29, 2008 Banquet. (If you attend any other events during the week, your credit card will be charged for the full registration.)
$60 - Annual National Dues for members not currently in good standing.
$7.50 - PSE Flip-Flops
 
Ladies' (6 - 8)
Men's Medium (9 - 10)
Men's Large (11 - 12)
Requests for refunds must be in writing and emailed to Therese Hrabak at therese.hrabak@pse.org by 12:00 p.m. CST, March 13, 2008, and are subject to a $50 non-refundable, non-transferable fee. There shall be no refunds after March 13, 2008, 12:00 p.m. CST.
You will have one final chance to review your order before submitting.

Pi Sigma Epsilon, 3747 S. Howell Ave. Milwaukee, WI 53207
Phone: (414) 328-1952, Toll-Free: (800) 761-9350, Fax: (414) 328-1953, E-mail: pse@pse.org

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