NOPA MEETING / EVENT REGISTRATION 

Complete this form and click the "Submit" button at the bottom.  Your registration will be e-mailed to the NOPA Secretary.  Or, print this page, complete and fax it to AMY HARKINS, 419.522.3303.  Registration must be received at least 5 business days before the event.  If you cannot meet this deadline you should call our Secretary, AMY HARKINS, Phone 419-522-4333.

Event: (Choose Meeting or Special Event)

Meeting (Enter Date):  (Meeting only, members $10, guests $12, payable at door)

Special Event (Enter Name of Event):   

Date of Special Event

Your Information:

Name:  

Organization:

Phone No.: (Include Area Code)      

Fax No.: Include Area Code)

E-Mail Address:

Guest's Name: (List all guests attending with you.)

Special accommodations or meal requirements (list special accommodations or meal requirements):

What topics would you like to see in our future programs?

Payment and Cancellation policy:

Please bring the appropriate fee to the event with you.  Make checks payable to North Central Ohio Personnel Association.  If you need to cancel your reservation, please call or e-mail our Secretary, AMY HARKINS, Phone 419-522-3303, E-mail harkinsamy@yahoo.com .  Failure to cancel at least three days prior to the event will result in charges being assessed.

STOP!  Print this page before submitting on line or if you are faxing.