Celebrating a Very Special 40th Annual Convention
Registration
"Puttin on the Ritz with Glitz-Diamondback Vegas Style"
June 15-20, 2010
Caesars Palace, Las Vegas, Nevada · 1-866-227-5944

REGISTRATION FORM * Add An Additional $200 if Not Booking in NDPAC Block of Rooms

PRE-REGISTRATION COST (Before or on May, 15, 2010)

If paying with Check/Money Order If paying with thru PayPal FAMU RPH (includes membership for 2010-2011) $250 $260 OTHER RPH $200 $208 PHARMACY TECHNICIAN $100 $104 NURSE $200 $208 SOCIAL WORKER $200 $208 SPOUSE/GUEST (18+) $100 $104 OTHER AMOUNT (You fill in) $$$ $$$ I WOULD LIKE A PRINTED HARD COPY OF HANDOUTS $10 $12

* Printed handouts for our CE will no longer be available onsite. Printed handouts will be available to purchase for $10.00.

REGISTRATION FORM (click here)

REGISTRATION COST (AFTER May, 15, 2010)

If paying with Check/Money Order If paying with thru PayPal FAMU RPH (includes membership for 2010-2011) $300 $312 OTHER RPH $250 $260 PHARMACY TECHNICIAN $125 $130 NURSE $250 $260 SOCIAL WORKER $250 $260 SPOUSE/GUEST (18+) $125 $130 OTHER AMOUNT (You fill in) $$$ $$$ I WOULD LIKE A PRINTED HARD COPY OF HANDOUTS $10 $12

REGISTRATION FORM (click here) FULL REGISTRATION FEES FAMU RPh- $250 (Incl. dues)            Other RPh and Nurses- $200 Guests and Technicians- $100 * Add An Additional $200 if Not Booking in NDPAC Block of Rooms ROOM RATES Forum Tower- $159/Night                    Palace Tower- $189/Night Augustus Tower - $189/Night

Mail check to: National Diamondback Pharmacy Alumni Council, P.O. Box 13052, St. Petersburg, FL 33733.

Updated: 1/24/10

For more information e-mail: Gwen Washington at Gwendolyn@sprynet.com or call 800-784-6082, Ext. 102 or 727-742-3543.