119th Annual CPA Convention at
El Conquistador Resort, Fajardo, Puerto Rico
June 19-23, Early-bird CPE June 19 | Register by May 13 | www.picpa.org/cpaconvention
Registration Fees
We’re excited you’re joining us for the 119th Annual
CPA Convention. Please return this form with payment
by May 13 to:
P
ICPA, Ten Penn Center
1801 Market St., Ste. 2400
Philadelphia, PA 19103
PICPA or NJSCPA Member Registration____ @ $575 = $ ____
• Beach Bash on Palomino Island on 6/19
• Family Breakfast with entertainment on 6/20
• Dessert reception on 6/21
• President’s Party on 6/22
• 11 hours of CPE with breakfast
Or call (215) 496-9272.
PICPA Council Member____ @ $375 = $ ____
Includes all the fun and food listed above
Room Reservations: Call 1-888-579-2701 and use group
code PICPA, or visit www.picpa.org/cpaconvention.
Spouse/Guest/Child 18 and Older____ @ $375 = $ ____
Includes all the fun and food listed above, minus CPE and continental breakfast
Contact Information
Children Age 5 to 18____ @ $125 = $ ____
Member name ����������������������������������������
m PICPA Member
Includes all the fun and food listed above, minus CPE and continental breakfast
Children under 5____ @ $0 = $ ____
m NJSCPA Member
Firm/company name ������������������������������������
Includes all the fun and food listed above, minus CPE and continental breakfast
Spouse/guest names �����������������������������������
Optional Events
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Early-bird CPE on June 19: 4-Tax ____ @ $60 = $ ____
If attending, children’s names and (ages)
Old San Juan Tour on June 20____ @ $50 = $ ____
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Cell Phone �������������������������������������������
E-mail ����������������������������������������������
Home address ����������������������������������������
City ______________________ State ______ Zip �������������
Payment Method
m Check (payable to PICPA)
m MasterCard
m Visa
m American Express
m Discover
Includes transportation (see convention schedule for more details)
Total
$ ___________
Á la Carte Pricing is available.
Please call PICPA at (215) 496-9272 to inquire about fees for
specific events.
Cancellations before May 5 will be fully refunded. Any cancellations received on or
after May 5 may be subject to a cancellation charge.
Responsibility Clause: The Pennsylvania Institute of Certified Public Accountants (PICPA)
acts only in the capacity as an agent for all services provided in connection with the
PICPA 119th Annual Convention at El Conquistador Resort, Puerto Rico. As such an
agent, no liability can be accepted for any injury, damage, loss, accident, or delay, and
responsibility is limited to conditions outlined in this brochure. The right of the above
agent to withdraw or cancel any or all parts of this trip is further reserved; in such
instances, equitable amounts will be refunded.
Credit card number______________________________________
Expiration date _____ / _____
Questions? Call (215) 496-9272
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