PASMA 2007 Professional Development Conference

							                      PASMA 2011 Professional Development Conference
                                 ─ Registration Form ─
                                       July 27, 2011
                     Knott’s Berry Farm Resort Hotel • Buena Park, CA
                                REGISTRATION INFORMATION

Last Name:                                                    First Name:

Position / Title:

Organization:

Address:

City:                                                                State:                  Zip:

Phone:                                                    Fax:

E-mail:

Special Needs?          No     Yes (Describe)




REGISTRATION FEES
        PASMA Member (Regular / Affiliate / Associate):                                 $75.00
        Non-Member: Full Conference

                                                                        TOTAL:

         Payment of the full conference registration fee entitles the registrant to 1-day parking, all speaker
          sessions, lunch & refreshments, and vendor exhibits.
         Please complete a registration form for each person attending.

Mail this completed registration form and                 Questions about Sponsoring or Exhibiting?
payment to:
                   PASMA                                  Vendor / Exhibit Contact:
                P.O. Box 1771                             Sunny Lee (562)570-5892
              Orange, CA 92856                            sunny.lee@longbeach.org
                     -OR-
                 Julie Werner
         Long Beach Water Department
             1800 E. Wardlow Rd.
            Long Beach, CA 90807

         PUBLIC AGENCY SAFETY MANAGEMENT ASSOCIATION
PUBLIC AGENCY SAFETY MANAGEMENT ASSOCIATION