Registration Form

Fill out this form completely to register for the conference. You will be able to reserve your hotel accommodations immediately after registering.

Early bird discount ends February 13, 2020.

Registrant Information
(for badge purpose)

If you are bringing a guest, please provide their name below and select appropriate fee.

Billing Information
Payment Information
$
$
$
$
$

Note: PAFMs automatically receive a $100 discount in fee calcuations below.

Invalid promo code. Please try again. Promo code accepted and discount applied.
$
(3 or 4 digit code on back of card)
* Make check payable to CPAFMA and mail to: 136 South Keowee Street, Dayton, OH 45402