American Society of Access Professionals, Inc. Presents “Food for Thought” Training Seminar - Lillie Coney, Associate Director of the Electronic Privacy Information Center (EPIC) in - Federal Agency Representative to be confirmed DATE: Thursday, April 19, 2012 – Limited Seating for 45! TIME: 11:45 am – 1:30 pm (Salad is preset, food is served family style at noon, presentations begin at 12:40 pm) WHERE: Carmine’s
Tel: 202.737.7770 Carmine’s is legendary and known for its generous potions of family-style Italian dining. Please visit http://www.carminesnyc.com/locations/wadc/index.php Metro Trains information. Where can I find convenient parking?
REGISTRATION FORM FOR ASAP FOOD FOR THOUGHT LUNCHEON SEMINAR April 19, 2012 – The Impact of the Privacy Consumer Bill of Rights SEATING IS LIMITED TO ONLY 45 SEATS ASAP reserves the right to close registration when capacity is reached. 1) Telephone registration is not accepted. 2) We have a strict attendance guarantee with the restaurant. No-Shows WILL be invoiced/charged. 3) Please fax or email your reservation to: E- Fax: 202-216-9646 Analog Fax : 202-216-0246 Email: ASAP@Bostrom.com Last Name: ______________________________________ First Name: _____________________________________________ Agency/Org.: _____________________________________ Office: ________________________________________________ Tel: _____________________________________________ E-mail: ________________________________________________ 4) Please list any special needs. ASAP, in compliance with the _________________________________________________________________________________________________________ 5) ASAP Member? ________ Yes _________ No ASAP is a nonprofit, professional member society. Federal, state or local government employment does not automatically entitle one to ASAP membership or member discounted program fees. 6) Registration Fees (includes venue, ASAP administrative costs and lunch) BY NOON, APRIL 16 AFTER NOON, APRIL 16 or at the Door $25 = ASAP MEMBER $30 = ASAP MEMBER $35 = NON MEMBER $40 = NON MEMBER Check/ Money Order/Cash at the door Credit Card (VISA, MasterCard, American Express, IMPAC. Cards are processed on a weekly basis, PRIOR to the program. ) ATTN: CARDHOLDER: Receipts are automatically emailed to cardholders with successful transactions. Please watch for an email from Authorize.Net with the subject, “Customer Receipt.” Cards are batch processed on a weekly basis Credit Card #: ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ Exp. Date: ___________ Authorized Amount: $________ Card Holder Signature:_____________________________________________________________ Card Holder Printed Name:____________________________________ Card Holder Tele: _________________________________ Card Holder Fax:____________________________ Card Holder Email: _________________________________________________ ASAP’s Federal Tax I.D. number is 54-115-2815. ASAP’s DUN & BRADSTREET # is 184057818. ASAP luncheons are underwritten in part by the American Society of Access Professionals. American Society of Access Professionals 1444 I (Eye) Street, N.W. Tel: 202-712-9054 E-Fax: 202-216-9646 Analog Fax: 202-216-0246 Web: www.accesspro.org (Internal: 061.389.01) |
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1444 I Street, NW, Suite 700, Washington, DC, 20005