Registration Includes: Welcome Reception, Continental Breakfasts, Monday’s Lunch, Breaks, Chairman’s Reception/Dinner, Spouse Session, Materials, and all sessions

Not Included in Registration: Larry Kauffman Interfaith Breakfast, Children’s Program, and Teen Program

Registration Deadline: July 18, 2011

Cancellation Policy: A refund will be given if notice of cancellation is received on or before July 25. Cancellations received after this date will not be eligible for a refund. Please note: a $25 processing fee will be charged for each refund issued.

My family would like to participate in Volleyball on Sunday.
Number Attending:

I will attend the Chairman's Dinner. Specify Beef or Seafood:
Spouse attending Chairman's Dinner. Specify Beef or Seafood:
Spouse participating in the Culinary Tour program on Monday

PAMIC Member Early Registration Fee (before July 1): $345
PAMIC Member Registration Fee (after July 1): $395
Non-Member: $450
Spouse: $245
Child Under 12: $25        Number of Children Under 12:
Child 13 & Over: $50       Number of Children 13 & Over:

I would like to attend the Larry Kauffman Interfaith Breakfast. (add $35)
Number Attending the Breakfast:

My child(ren) would like to attend the Monday evening children's program. (add $50)
Number Attending the Children's Program:
Name(s) & Age(s):

registration total   $

Golf Tournament Registration

Names in Foursome

Other Players' Names

I will be playing. Please PUT ME IN A FOURSOME: $100

I would like to be a HOLE SPONSOR: $100
(Please make checks payable to the PAMIC Administrative Fund.)

I will CONTRIBUTE as a prize.

golf total   $

I will be sending a check to pay for my registration.
I will pay online using Paypal.*
Please send an invoice.

* Please note that a $5 service fee will be charged for using this service.