2017 RPDC Registration
For Individuals please complete
the following
*Denotes Required Information
*Organization:
AGA Membership No:
*Payment Method
*Amount   
*E-mail         
Phone:
*Choose first AM Track
*2'nd Choice first AM Track:
*Choose second AM Track
*2'nd Choice second AM Track:
*Choose first PM Track
*2'nd Choice first PM Track:
CANCELLATION POLICY:  Cancellations received up to
February 26, 2017 are fully refundable.  Substitutions
can be made at any time up until the day of the
conference.  Individuals who do not cancel on or before
February 26, 2017 are not eligible for a refund.  
No-shows will be individually responsible for full payment.







Registration Contact's Name:

Registration Contact's E-mail:

Registration Contact's Phone Number:

Date of Session:

Full Name of each Attendee:

AGA Membership # of each Attendee (if applicable):

Each Attendee's AM and PM Track Selections:

Organization Name:

Method of Payment:
-Pay by Check
-Pay by Credit Card
-Agency Pre Paid
-Agency Billed
For group registrations please
send the following information to
the Director of Registration
To contact the
Director of
Registration  Click
here
NOTE:

If payment is via credit card you will receive an invoice from our treasurer,Jeff Benbenek;
Using the invoice number on the statement you can enter your credit card information by
clicking the following:
Checks can be mailed to the following address:

Jeffrey Benbenek, Treasurer
Association of Government Accountants
Boston Chapter
3 Deerfield Ct
Lincoln, RI  02865
"Early Bird Discount" only available through 2/24/17