If you are human, leave this field blank.EVENT REGISTRATION FORMAll Attendees are required to complete this Registration Form & provide arrival & departure dates >> PFA Conference & Tradeshow January 31st - February 2nd >> PFA Room rates will be available to our group beginning on January 28 -February 5, 2023, subject to hotel occupancy & discretion. Staying at M Resort: If you are staying at M Resort (the preferred hotel for this event), you MUST complete this Registration Form (Step 1) AND the Room Authorization Hold (Step 2). Not Staying at M Resort: If you are not staying at M Resort, you MUST complete this Registration Form (Step 1 only). PFA Members: You will only be eligible for the Early Sign Up Incentives if you stay at M Resort. Step 1) GENERAL REGISTRATION INFORMATIONRegistration TypePFA MemberExhibitorOtherPFA IDOnly PFA Members should fill in this box Please Note: Any member that signs up for the Early Incentive but cancels ON or AFTER August 31, 2022 will be charged $200. All Attendees will be subject to a cancellation and/or no-show fee in the amount of $600. This will be applied if an individual cancels after 1/22/2023 or does not show up to our event.Company Name *Contact Name *Title *Phone *FaxCellAddress *City *State/ProvinceAlabamaAlaskaArizona ArkansasCalifornia Colorado ConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTexasTennesseeUtahVermontVirginia WashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNWTNova ScotiaNunavutOntarioPEIQuebecSaskatchewanYukonAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaNorfolk IslandHeard and McDonald IslandsPostal Code *CountryEmail *EXHIBITORS – TRADE SHOW DIRECTORY INFORMATION REQUIRED.Don’t miss out on this opportunity to market your company in the show directory. *Please provide your Trade Show Directory information here. ONLY ONE PERSON from each company will need to provide this information. (320 character maximum, including spaces)EXHIBITORS II – TRADE SHOW DIRECTORY INFORMATION REQUIRED. *Please include the name(s), email(s) and phone numbers of those who will be attending and representing your company. The information will be helpful for any PFA Member that would like to follow up after the show. This information will be available in our Trade Show Directory. PLEASE NOTE ALL EXHIBITING COMPANIES that bring more than 2 guest participants per COMPANY/per BOOTH, will be charged an additional $250 per guest. For example, ABC Company buys 1 booth that means that up to 2 attendees are included, any more than that will incur an additional $250 per attendee, if the company buys 2 booths, up to 4 attendees are included. Charges will be posted to the card that is presented for Booth Registration, as soon as there is a final attendee list from each company (Sponsors are exempt from this charge, please call for additional details). Exhibitors: All Attendees will be subject to a cancellation or no-show fee in the amount of $600. This will be applied if an individual cancels after 1/22/2023 or does not show up to our event.ATTENDEE DETAILSHow many from your company will be attending? *12345Are you staying at the Renaissance Austin Hotel? *YesNoStep 2) ROOM HOLD AUTHORIZATIONIMPORTANT NOTE: All hotel reservations, cancellations and changes MUST be completed through the PFA Office. If you are staying off-site, please scroll to the bottom of this page and hit the SUBMIT button. If you are staying at M RESORT you MUST complete STEP 2, then click SUBMIT. If you do not fill out Step 2, we will not secure a room for you. Once you submit all the required registration information, you will receive an email confirmation, as well as a hotel confirmation number for your records. All attendees are responsible for all applicable room & tax charges at M Resort. Hotel policy requires one night’s room & tax deposit at time of room reservation. How many rooms at the Renaissance Austin Hotel will be needed?1 Room2 Rooms3 Rooms4 Rooms5 RoomsCard TypeCard NumberExpiration DateCVC CodeCardholder Company NameCardholder NameCardholder Billing AddressCardholder CityCardholder StateAlabamaAlaskaArizona ArkansasCalifornia Colorado ConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTexasTennesseeUtahVermontVirginia WashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNWTNova ScotiaNunavutOntarioPEIQuebecSaskatchewanYukonAustralian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern AustraliaNorfolk IslandHeard and McDonald IslandsCardholder Postal CodeCardholder PhoneCardholder FaxCardholder EmailAttendee 11) First Name *1) Last Name *1) Name wanted on Badge *1) Hotel room? *NoYes1) Share the room with?1) Arrival Date *1) Departure Date *1) Bedding Preference1) Specialty Dietary Needs (Gluten Free, Vegetarian, Vegan)Attendee 22) First Name2) Last Name2) Name wanted on Badge2) Hotel room?NoYes2) Share the room with?2) Arrival Date2) Departure Date2) Bedding Preference2) Specialty Dietary Needs (Gluten Free, Vegetarian, Vegan)Attendee 33) First Name3) Last Name3) Name wanted on Badge3) Hotel room?NoYes3) Share the room with?3) Arrival Date3) Departure Date3) Bedding Preference3) Specialty Dietary Needs (Gluten Free, Vegetarian, Vegan)Attendee 44) First Name4) Last Name4) Name wanted on Badge4) Hotel room?NoYes4) Share the room with?4) Arrival Date4) Departure Date4) Bedding Preference4) Specialty Dietary Needs (Gluten Free, Vegetarian, Vegan)Attendee 55) First Name5) Last Name5) Name wanted on Badge5) Hotel room?NoYes5) Share the room with?5) Arrival Date5) Departure Date5) Bedding Preference5) Specialty Dietary Needs (Gluten Free, Vegetarian, Vegan)Captcha *reCAPTCHA is required. 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