NCAPSE Conference Registration

Please Note: All check payments now require pre-approval. If you have not yet done so, email us at ncapse@ncapse.org for pre-approval and to receive a code.

Name of Conference Attendee*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Job Title
Organization*
Phone*
Email Address of Attendee*
What Accommodations Will You Need?
Please include accessibility and anything else we can do to make the conference easier for you, including accommodations and dietary needs.
Are you a member of APSE/ NC APSE?**
- Yes
- No
Member Number*
NC APSE Member Price*
- Regular Registration (after 9/10/19): $235.00
Non- NC APSE Member Price*
- Early Bird Registration (by 9/10/19): $235.00
- Regular Registration (after 9/10/19): $265.00
How will you be paying?*
- Credit Card
- Check
Pre-approval Code*
All check payments now require pre-approval. If you have not yet done so, email us at ncapse@ncapse.org for pre-approval and to receive a code.
Credit Card Fee*
Price: $0.00
A fee of 3% will be added to all credit card transactions.
Check Payment Instructions
Your registration will be complete upon receipt of your check payment. Please click Complete Your Registration Now below. You will also be emailed these instructions.
Note your name and organization in the memo field of your check.
Please make all checks payable to and send to:
NCAPSE
Michael Maybee

PO Box 2330

Boone NC 28607
Questions?
Have questions about registration? Please contact ncapse@ncapse.org or call 919-413-7476.
Note: If you are unable to attend the conference for any reason, you may substitute another conference attendee in your place. Refunds are not available on conference registration.
Make sure to complete your registration by clicking the button below.
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.

Conference Sponsorship Opportunities

There is no better way to market your services! We have packages for every budget. Also, this year we are holding exciting networking social for all attendees and sponsors.

To learn more about sponsoring attendance contact:

Julie Mothorpe at (336) 580-7045 or jmothorpe@lifespanservices.org
Beth Barwick at (336) 314-9057 or beth.barwick@eastersealsucp.com

For questions about the conference please contact:

Julie Mothorpe at (336) 580-7045 or jmothorpe@lifespanservices.org
Beth Barwick at (336) 314-9057 or beth.barwick@eastersealsucp.com

We would welcome the opportunity to serve you as a member of NCAPSE.

For additional information

please contact us

NCAPSE Conference Registration

Check Payment Instructions

Questions?

Conference Sponsorship Opportunities