Name (First & Last):*

Title:*

Jurisdiction*

Street:*

City:*

State:*

Zip: *

Phone:*

E-Mail:*

Conference Registration*

3CMA or FGCA Member - One-Day: $100 3CMA or FGCA Member - Two-Day: $150 Non-Member - One-Day: $125

Non-Member - Two-Day: $175 New Member BONUS Opportunity - Two-Day Conference Registration and One-Year 3CMA Membership: $445

If registering for one-day, please indicate which day you plan to attend.

Thursday - May 2nd

Friday - May 3rd

Payment Options*

Payment is Being Made On-line Via Credit Card A Check is Being Mailed

Please E-Mail an Invoice to Me

Registration Deadline
In order to guarantee your place at the conference, registration must be received by Friday - April 26, 2013. Please contact the 3CMA Office with any questions. (703-707-0830)

Cancellation Policy
Requests for cancellations or substitutions must be made in writing (no fax or e-mail, please). After April 24, 2013 no refunds will be processed for cancellation. Substitutions may be made at any time in writing. Telephone substitutions will not be accepted.