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Please fax your completed registration form to 609.345.8101. Payment is required in advance or at the event.
Mail checks payable to ACHLA, 151 S. Pennsylvania Avenue, Suite 709, Atlantic City, NJ 08401.
Name: __________________________________ Company: ___________________________________________
Address: ________________________________ City: ______________________ State: ____ Zip: ___________
Phone: _____________________ Fax: ________________________ Email: _______________________________
TO PAY VIA CREDIT CARD: Circle One: AMEX MASTERCARD VISA
Credit Card # _____________________________________ Exp. Date: ______________________
A reservation is considered a guarantee. "No shows" will be billed. |
