PAND 2025 Annual Conference Registration Form
This Form is for the PAND 2025 Annual Conference. Please fill it out in its entirety. All cancellation requests must be made in writing.
Name
*
First Name
Last Name
Credentials
*
Email
*
example@example.com
Job Title/Company
*
Please enter your CDR or Academy membership number
*
Please list how you would like your name and credentials printed on your badge
*
Please indicate one:
*
Member
Non-Member
Student Member
Student Non-member
Retired
Will You Attend the Special Event Hosted by Beef on Thursday March 27, 2025, from 3:30 PM - 5:00 PM? This is included in your Conference Registration
*
Yes
No
Will You Attend the Member Reception on Thursday March 27, 2025, from 5:30 PM - 7:00 PM at the Brick & Brew Malvern?
*
Yes
No
Will You Attend the PAND PAC Event on Thursday March 27, 2025, from 7:00 PM - 9:00 PM? Please note the PAND PAC Event will have a SEPARATE registration
*
Yes
No
Did you submit payment above?
*
Yes
No
Registraions:
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PAND Member Conference Registration
$
200.00
Quantity
1
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10
Non-Member Conference Registration
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Member Student Conference Registration
$
95.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non-Member Student Conference Registration
$
105.00
Quantity
1
2
3
4
5
6
7
8
9
10
Retired Member Conference Registration
$
95.00
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
Should be Empty: