Please print this form, then type or print all information requested. One registrant per form. To register additional attendees, please photocopy or reprint this form.
Return by February 2, 1996 to: Registrar, NAA Newspaper Operations SuperConference, The Newspaper Center, 11600 Sunrise Valley Drive, Reston, VA 22091-1412. Fax: (703) 648-1282.
Name_____________________________________________________________________________
Title______________________________________________________________________________
Newspaper/Company__________________________________________________________________
Mailing Address_______________________________________________________________________
City____________________________________________ State/Province_________________________
Zip/Postal Code_____________________ Country________________________________________
Preferred name for badge_________________________________________________________________
Phone (_____)_____________________________ Fax (_____)____________________________
Email Address _____________________________________________________________________
Circle Yes or No to the following questions:
Do you have any special physical or dietary requirements? Yes or No
Will you attend the Diario Las Americas Tour? Yes or No
Will you attend the Miami Herald Tour? Yes or No
Confirmation of registration will be issued by NAA.
FEES
NAA Member:
$___________________ Any single segment: $495 (450*)
$___________________ Any two segments: $795 (700*)
$___________________ All three segments $995 (850*)
$___________________ Late Fee (after Feb. 2): $100
Nonmember:
$___________________ Any single segment: $795 (715*)
$___________________ Any two segments: $1195 (1050*)
$___________________ All three segments $1495 (1300*)
$___________________ Late Fee (after Feb. 2): $100
IMPORTANT
Please check below the segment(s) for which you are registering:
______
Pre-press
______ Press & Materials
______ Post-press
EXTRA EVENT TICKETS (For spouses and guests. Please note that you do not need to order event tickets for yourself as they are included in the conference registration fees for each segment.)
# of Tickets
____ Pre-press Welcome Reception (Sunday) -- $20:
$__________
____ Pre-press Luncheon (Monday) -- $25: $__________
____
Press & Materials Welcome Reception (Tuesday) -- $20: $__________
____
Press & Materials Luncheon (Wednesday) -- $25: $__________
____
Post-press Welcome Reception (Thursday) -- $20: $__________
____ Post-press
Luncheon (Thursday) -- $25: $__________
Total: $_______________
PAYMENT
Check number: _______________ in the amount of $_______________ is
enclosed.
Make check payable, in U.S. funds only, to: Newspaper
Association of America.
or Charge $_______________ to my:
____ American Express
____ MasterCard
____ Visa
Card Number_____________________________ Exp. Date ________________
__________________________________________________________________
Signature
(as it appears on card. Required on all credit card charges.)
For Office Use Only:
Date paid _________________
Ind.
ID # __________________
Mtg. Code 960303SC
Reg. #
___________________
Co. ID # _________________
Questions? Call NAA's Meeting Management Department at (703) 648-1282 or e-mail James Balda.
©1997 Newspaper Association of America. All rights reserved.