Pro Audio-Video-Lighting EXPO

Conference Registrations

Pro Audio,Video,Lighting Expo 2012

Attention:
Please fill out a form for EACH PAID registrant attending
(so we can have the correct information for their name tag)
and we will get back to you as soon as it is processed.
If you should have questions, please call us at 1-800-753-6753

* - required fields

*Name ::

Church Name ::

Kempke Acct# ::

* eMail address ::

*Address ::

City::

*St ::

Zip ::

Phone ::

Fax ::

Home Phone ::

Please indicate which staff member helped you the most
in making your decision to attend the conference.

*Please make your selections

Description	Amount	Check Box
Pro Audio/Video and Lighting Expo - Monday January 2nd, 2012
I am registered for Adult or Childrens Choral Program	$0

I am attending the Expo	$39

No refunds are available after December 20, 2011

Please indicate which staff member helped you the most in making your decision to attend the conference.

Pro Audio/Video and Lighting Expo - Monday January 2nd, 2012

Please indicate which staff member helped you the most
in making your decision to attend the conference.