The Texas Association of Professional Electrologists Conference
Saturday - Monday, April 28 - 30, 2018
1.5 CEUs pending

Registration form

Name: __________________________ Are you a CPE?________________
Address: ________________________ CPE#________________________
City: ___________________________ State:_______Zip:______________
Telephone (work):_________________ Telephone (cell):________________
E-mail:_______________________________________________________
  1 Day 2 Days 3 Days  
Early Registration Fee
(Must be postmarked by 3/28/18)
TAPE/AEA Member $130.00 $220.00 $295.00 ________
Non-member $145.00 $255.00 $310.00 ________
Student $110.00 $200.00 $280.00 ________
Guest (coffee, breaks, luncheon
for non-electrologist)
Guest $100.00 (for entire meeting) ________
Late Registration Fee
(If postmarked after 3/28/18)
TAPE/AEA Member $145.00 $255.00 $310.00 ________
Non-member $160.00 $270.00 $325.00 ________
Student $125.00 $215.00 $295.00 ________
CEU computer Entry and/or Certificate TAPE/AEA Member $10.00      ________
Non-member $20.00      ________
  *Total Payment:   $ ________

Make your check payable to TAPE.
Mail this form and your payment to:

TAPE TREASURER
Sara Wolfe
1220 Lace Bark Way
Arlington, TX 76005
(214)557-6791
SaraBWolfe@gmail.com

More detail can be found at: www.texaselectrology.com  
** This charge is applicable for CPEs who are seeking CEUs for re-certification or for any participant
who would like to receive a certificate that documents attendance at this event.