Registration Form
1
Mr.
Mrs.
Ms.
Prefix / Salutation
First Name
Last Name
2
Title
Company
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
3
Office Phone Number
Format: (000) 000-0000.
4
Cell Phone
Format: (000) 000-0000.
5
Email Address
Online Conference Registration:
Click an Option
PLMA Member - $199
Non-member - $350 - Subject to Availability
Retailers & Wholesalers Complimentary
Submit Payment
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PLMA Member
$199.00
$
199.00
Non-member*
(*subject to availability)
$350.00
$
350.00
Cancellation Policy:
Cancellations must be made in writing at least ten business days prior to the conference. Cancellations received after that date will be subject to a 50% penalty.
Total Amount Due:
By submitting this form, I give PLMA permission to store my contact details in order to send me information by email about PLMA's trade shows, conferences, programs, publications and research. I have read PLMA's Privacy Statement and I understand that I may discontinue receipt of such information at any time by using the opt-out provisions included in all PLMA email communications.
Name
First Name
Last Name
Payment Methods
Debit or Credit Card
6
Choose from one of the PayPal options to
make your payment.
Submit Application
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