Florida Police Chiefs Association - FPCA OnLine: 2008 Summer Conference

PGA National Resort & Spa
400 Avenue of the Champions
Palm Beach Gardens, FL 34418-3698
Call for HOTEL Reservations at (561) 627-2000 or Fax HOTEL Reservations to (561) 227-2595

Chief Executive or Initial Registrant (FPCA Member) - $300 (if registered by May 21 - $350 thereafter). Includes one ticket to Host Chief's Night, Installation Banquet, and Farewell Breakfast. (Please print/type name as you would like your badge to read.) Cancellation Policy:  30 days or more notice, will result in a refund less a $100 administrative fee. No refunds will be issued if a cancellation is made with less than 30 days notice.

Name

Rank/Title

Department/Agency

Address

City/State/Zip    County

Telephone:    Fax     E-Mail

ActivitiesI plan to participate in the Golf Tournament on Sunday? Yes No

Spouse - $75 (if registered by May 21 - $95 thereafter).
Includes one ticket to Host Chief's Night, Installation Banquet, and Farewell Breakfast.

Spouse's Name:

Youth(s) - $50 (if registered by May 21 - $70 thereafter).
Includes tickets to Host Chief's Night and Farewell Breakfast. Tickets for the Installation Banquet must be purchased separately.

Name & Age:

Name & Age:

Name & Age:

Additional Staff (FPCA Member(s) - $250 (if registered by May 21 - $300, thereafter).
Includes one ticket to each event. (Please print/type name as you would like your badge to read.)

Name

Rank/Title

Department/Agency

Non FPCA Member(s) - $350 (if registered by May 21 - $400, thereafter).
Includes one ticket to each event. (Please print/type name as you would like your badge to read.)

Name

Rank/Title

Department/Agency

Payment Information:

Payment Type:

Purchase Order #:

Credit Card#:

Expiration Date:

Name on Credit Card:

Signature:

Billing Address:

Hotel Information:
Hotel accommodations will be handled directly by the PGA National Resort & Spa. Call for Reservations at (561) 627-2000 or Fax Reservations to (561) 227-2595 and please mention that you are with the Florida Police Chiefs Association. Be sure to call no later than May 21, 2008, to guarantee your room rate of $129 per night. The Resort will honor the rate three days prior and 3 days after the conference. Click here for additional details about the PGA National Resort & Spa. Click Here for Driving Directions from Yahoo Maps.
Print & MAIL or FAX completed form to:
FPCA, Conference Registration, P.O. Box 14038, Tallahassee, FL 32317, Fax: 850-219-3640.