September 19-20, 2007
Embassy Suites Tampa — Downtown Convention Center
Tampa, Florida

Conference Registration Form

* Indicates Required Field * Full Name:
*RCMA Member: Yes No
Title:
*Name for Badge:
*Company:
*Address:
*City:
*State:
*Zip Code:
Fax:
*Phone:
*Email:
Spouse / Guests (if attending):

Americans With Disabilities Act

If you need special arrangements, please contact association headquarters at (202)785-3232

Please check which meeting(s) you will attend:

Wednesday, September 19 Continental Breakfast
Associates Council Meeting
White Coatings Council Meeting
Annual Meeting Committee
Lunch
Technical Committee Meeting
Reception at PRI

Thursday, September 20 Continental Breakfast
Communications Committee
Government Affairs Committee
Board of Directors Meeting and Luncheon

Credit Card Information:

Full payment of $175.00 must be received with this registration form by Monday, September 11, 2007.
This fee is required of ALL RCMA member company attendees.

*Amount:
*Card Type:
*Card Number:
*Expiration:
*Cardholder Name:

If you have any questions regarding registration, please call Association Headquarters at 202.785.3232.

For hotel reservations, call Embassy Suites Hotel directly at 813.769.8300 by August 20, 2007

The RCMA discounted room rate is 159 single and $169 double, plus applicable taxes.

******* THIS FORM DOES NOT REGISTER YOU AT THE HOTEL. *******