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2009 POAMN Conference
Holiday Inn Tucson Airport North
4550 South Palo Verde Blvd.
Tucson, AZ 85714
September 29 - October 2, 2009
Watch for more details to come!

S P O N S O R S

• PAHSA
• Southern California Presbyterian Homes


The information you are providing is secure.
Verification of your registration will be emailed to you at the address you have listed.

      


Spring Conference Registration
CONTACT INFORMATION
Name:
Church/Organization
(if applicable):
Synod:
Presbytery:
Address:
City:
State:
Zip:
Phone (area code):
Email Address:
 
CHECK ALL THAT APPLY QTY
3 or more total registrants subtract $10 each!
POAMN Member(s): No Attending: ($200/each)
Non-Member(s): No Attending: ($225/each)
List names of those attending:
Hotel Room(s): No. of Rooms: ($295/pp double occupancy)
Roommates for double occupancy rooms:

If no name listed, a roommate will be assigned.
No. of Rooms: ($480/pp single occupancy)
 
2008 INDIVIDUAL MEMBERSHIP DUES
Full Membership $30:
Affiliate Membership (student or retiree) $20
CREDIT CARD INFORMATION
Type:
Number:
Expire: (month/year)