Mar 3, 2017 - PAYMENT METHOD. â¡ Check payable to IFA (Federal Tax ID # 36-6108621) â¡ Credit Card: AMEX/Visa/MasterCa
Lock in 2017 rates now for the 2018 Convention! Registration deadline for 2017 rates is March 3, 2017 FEBRUARY 10-13 l PHOENIX, AZ
Registration Form
Please complete one form per person. Full Name _____________________________________________________________ o Franchisee
o Franchisor
o Supplier
Nickname for Badge ________________________________ Spouses (if registering _______________________________________ Company Name _____________________________________________________________________________________________ Job Title __________________________________________________________________________________________________ Address ____________________________________________________________________________________________________ City ______________________________ State ________________ Zip ____________ Country (if not U.S.) ___________________ Telephone _____________________________________ Mobile ____________________________________________________ Email _____________________________________________________________________________________________________ (An individual email address for the actual person attending convention is required for confirmation packets.) o Check here if you wish to receive emails and faxes on Convention events and issues of interest. Have a special need or dietary request in order to fully participate? Please email
[email protected]. Are you a U.S. Veteran?
o Yes o No
Please mark the appropriate boxes to indicate your participation and fees. Registration fees are PER PERSON. o
IFA Franchisor/Supplier Member
o
1-3 registrants when registering together
$990
o
4-9 registrants when registering together
o
10+ registrants when registering together
$890 $790
o
IFA Franchisee Member
$550
o
Member Exhibitor
$690
o
Spouse (includes evening social events only)
$450
o
Non-Member
$2,240
o
University Personnel
$790
o
Annual Leadership Conference (Saturday)
$100
o
Prayer Breakfast (Sunday)
Complimentary
CANCELLATION POLICY: Refunds (minus a $100 administration fee) will be granted for cancellations received in writing to
[email protected] by January 19, 2018. Cancellations received after that date are subject to a 50% penalty + a $100 administration fee. No refunds are permitted after January 26, 2018. Substitutions are permitted at any time, subject to a $50 substitution fee.
Total Fee $ ___________
PAYMENT METHOD o Check payable to IFA (Federal Tax ID # 36-6108621) o Credit Card: AMEX/Visa/MasterCard/Discover Account # __________________________________________________ Expiration Date ____________________ CVV___________ Cardholder’s Name ___________________________________________________________________________________________ Cardholder’s Billing Address _____________________________________________________________________________________ Signature __________________________________________________________________________________________________
