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THE AMERICAN POLYGRAPH ASSOCIATION (APA)

CONTINUING EDUCATION SEMINAR

ASIA-PACIFIC SEMINAR JANUARY 30-FEBRUARY 2, 2012

ADVANCED REGISTRATION IS REQUIRED



APA FED ID # 52-1035722

REGISTRATION PRESIDENT’S RECEPTION

7:00 AM – 8:30 AM – MONDAY, JANUARY 30, 2012 MONDAY, JANUARY 30, 2012

SEMINAR HOURS 6:00 PM – 10:00 PM

8:30 AM – 5:00 PM – MONDAY-THURSDAY BANQUET

JANUARY 30 – FEBRUARY 2, 2012

LODGING GUEST SPEAKER

FULLERTON HOTEL SINGAPORE DR. DAVID CHAN

1 FULLERTON SQUARE, SINGAPORE 049178 THURSDAY, FEBRUARY 2, 2012

To make Hotel Reservations: 6:00 PM – 10:00 PM

CALL : 65-6733 8388 / FAX 65 6735 8388

E-mail: info@fullertonhotel.com CONTINUING EDUCATION CREDITS

Individual Reservations - Cut-off date: 01/16/12 When you attend this seminar, you receive up to 32 CEUs

(Continuing Education Units) of continuing education credit approved

GROUP ROOM RATE by the American Polygraph Association and the Federal Certification

Program for Continuing Education and Training.

PRE-PAID BY JANUARY 16, 2012

SINGAPORE RATE $390.00 PER ROOM PER NIGHT CANCELLATION AND REFUND POLICY:

(Please be advised that all room rates quoted are indicative Cancellations received, in writing, before 01/16/12, will receive

guideline rates and are subject to changes upon confirmation of the a full refund. Persons canceling after 01/16/12 will not receive a refund

dates.) but will be provided with the handout material.



SEMINAR FEE TAX DEDUCTIONS

$1500.00 APA Member/Applicant All expenses of continuing education (including registration

$1800.00 Non-Member fees, travel, meals and lodging) taken to maintain and improve

professional skills are tax deductible subject to the limitations set forth

ORDER TO HAVE ADEQUATE

**IN in the Internal Revenue Code.

SEATING, ADVANCED REGISTRATION (The registration fee includes professional instruction,

seminar materials, AM and PM Refreshment Breaks)

IS REQUIRED**

1-800-272-8037 or 423-892-3992 CONTINUING EDUCATION IS VITAL TO YOUR SUCCESS

AND SHOULD BE A LIFELONG PURSUIT

FAX 423-894-5435





TO REGISTER FOR THE SEMINAR, PLEASE COMPLETE AND MAIL THIS FORM TO:

APA NATIONAL OFFICE, P.O. BOX 8037, CHATTANOOGA, TN 37414-0037

OR FAX IT TO 423-894-5435

Print Legibly or Type the Following



NAME: __________________________________________ BUSINESS PHONE:_________________________



ADDRESS: ____________________________________________________________________________________



NAMETAG-CALLED BY:_______________________________________________________________________



( ) CHECK MADE PAYABLE TO: AMERICAN POLYGRAPH ASSOCIATION IS ENCLOSED



( ) CHARGE $____________ TO MY: ( ) VISA ( ) MASTERCARD ( ) AE



NUMBER ______________________________________ CVV2______________ EXP.__________

(CVV2 is a 3 or 4 digit number found on the back of your credit card. AE cards on front of card)

SIGNATURE _____________________________________________________________

CES-ASIA-PACIFIC SEMINAR, 01/30/12-02/02/12 (We can't possibly reach everyone who would be interested in taking part in this seminar. Please help us by

making photocopies of this page for your co-workers and business associates. Thanks for your assistance). 2012



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