2019 RPDT Registration
For Individuals please complete
the following
*Denotes Required Information
AGA Membership No:
*Payment Method
*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
May 10, 2019 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 May 19,
2019 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

Person Responsible for Billing and Contact Number
For group registrations please
send the following information to
the Director of Registration
To contact the
Director of
Registration  Click

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 5/10/19