ASMC San Diego MiniPDI 2004 Registration Form

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ASMC San Diego Mini-PDI 2004 Registration
Form April 21, 2004 700am-1530pm Marriott
Mission Valley Hotel
RISING TO THE CHALLENGES OF BUSINESS MANAGEMENT
ATTENDEE INFORMATION (Please type or print form
clearly in its entirety. Please complete a
separate form for each attendee.)
Prefix ______ First Name ________________________
_____ Last Name _____________________________
Rank/Grade ________ Home Address
__________________________________________________
_______________________________________________ C
ity ______________________________________________
_________________________ State __________ Zip
________________ Please note any special needs
due to physical challenges________________________
_________________________________________ Special
Meals Vegetarian__________Diabetic __________
Kosher __________ Other __________
COMMAND INFORMATION (Please type or print form
clearly in its entirety) Command/Company(spell
out)______________________________________________
_______________________________________ Address
__________________________________________________
__________________________________________________
___ City ________________________________________
______________________________ State
__________Zip___________________ Office Phone
(Commercial) _____________________________________
_Email ___________________________________________
_
CONFERENCE FEE Postmarked by 7 April Members
95 _____ ASMC Member __________________ Non-mem
bers 115 _____ After 7 April 115 _____
135 _____ Registration fee includes continental
breakfast and lunch.
Please circle your preferences.
Breakout Sessions 0915-1015
A1 A2 A3 1030-1130
B1 B2 B3 1315-1415
C1 C2 C3
1430-1530 D1 D2
D3
PAYMENT METHOD
My check for ________ is enclosed (payable to
ASMC San Diego)
SEND REGISTRATION FORM TO ASMC MINI-PDI
REGISTRATION C/O ASMC San Diego Chapter 5156
Avenida Playa Cancun San Diego, CA 92124 MAIL
FORM PAYMENT POSTMARKED BY APRIL 7, 2004 Late
fee applies after APRIL 7, 2004 POC Tony Embrey
[phone] or anthony.embrey_at_navy.mil
My money order for ________ is enclosed (payable
to ASMC San Diego)
NOTE ASMC San Diego is unable to process credit
card payments, but can accept government
convenience checks. Please follow your commands
training request process for training approval,
funding and reimbursement.
CANCELLATION POLICY Persons who register and fail
to attend will not receive a refund.
Substitutions will be accepted prior to 8am on
day of event. PARKING Parking validation will be
made at Registration on the day of the event.
Please park in the hotel parking lot and bring
parking ticket to the Registration Table at the
beginning of the conference. Validation will be
made upon registration. ACCOMODATIONS Please
contact the Marriott Mission Valley Hotel for
special conference rates for out of town
attendees 1 [phone]
CONFERENCE LOCATION MARRIOTT MISSION VALLEY
HOTEL 8757 RIO SAN DIEGO DRIVE SAN DIEGO, CA 92108
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ASMC San Diego Mini-PDI 2004 Registration
Form April 21, 2004 Marriott Mission Valley Hotel
RISING TO THE CHALLENGES OF BUSINESS MANAGEMENT
Registration Sign up for up to 5 hours of
Continuing Professional Education
Directions to Marriott Mission Valley
Hotel DIRECTIONS FROM I-8 Take I-8 to Texas
Street/Qualcomm Way Exit. Take the Qualcomm Way
Ramp. Make a Right on Rio San Diego Drive.
First Driveway on the Right. (Enter from Rio San
Diego Drive) DIRECTIONS FROM I-15  Take I-15 to
I-8 W. Exit Texas Street/Qualcomm Way. Go to
Qualcomm Way. Make a Right on Rio San Diego
Drive. First Driveway on the Right. (Enter from
Rio San Diego Drive)  DIRECTIONS FROM I-805 Take
I-805 to I-8 W to Mission Center Road. East on
Frontage to Qualcomm Way. Left on Qualcomm Way.
Right on Rio San Diego Drive. First Driveway on
the Right. (Enter from Rio San Diego
Drive) DIRECTIONS FROM I-163 Exit Friars Road
East. Right on Qualcomm Way. Left on Rio San
Diego Drive. First Driveway on the Right. (Enter
from Rio San Diego Drive.