Name
Title
Organization
Address
City    State    ZIP
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Comments

REGISTRATION FEES ~ Registration fee includes continental breakfast, lunch and beverages.

Registration
Member ($25)
Non-Member ($35)

Form of Payment
I will send a check.
I will bring check/cash to meeting.

Please make checks out to APRA-Virginia and send to:

Delia Kloh, Treasurer, APRA-Virginia
University of Virginia
400 Ray C. Hunt Drive
P.O. Box 400807
Charlottesville, VA 22904-4807
434-924-0547
dak3s@virginia.edu