Public Agency Registration

Registration Page For Public Professionals, Not Applicable To Vendors

Two days of education:

Choose an event and registration preference below:

(If registering for one day only, make sure you indicate which day you will attend)

November 7 - 8 - Long Beach California PFS

November 7 - 8 - Long Beach California PFS - $249.00 - Full Two-day Summit - First Attendee From Agency

November 7 - 8 - Long Beach California PFS - $199.00 - Full Two-day Summit - Additional Attendees From Same Agency

November 7 - 8 - Long Beach California PFS - $199.00 - Single Day

November 7 - 8 - Long Beach California PFS - $199.00 - Full two-day Summit for MEMA and APWA members



        Attendee's Information:

Agency Name  :  *

Agency Address : *

Agency City  :  *

Agency State  :  *

Agency Zip Code : *

Attendee First Name  :  *

Attendee Last Name  :  *

Attendee Title  :  *

Attendee Work Phone  :  *

Attendee Cell : *

Attendee Email : *

Point of Contact (if different from Attendee)  : 

Point of Contact Phone Number (if other than the Attendee)  : 

Point of Contact Email Address (if other than the Attendee)  : 

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