SFLERP 51st Annual Symposium 2025 SFLERP Symposium Registration Form Please enter your information below and click "Submit." Fields with an asterisk (*) are required. Title Name* First Last Nickname This name will be shown on your badge.Agency/Organization Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*FaxWill you attend in-person or online* In person Online Special meals, allergies or other arrangementsMethod of PaymentEarlybird Discount. Register on or before February 15, 2025 and save!Select fee option:* Member: $450 (before February 15, $500) Nonmember: $525 (before February 15, $575) Select fee option:* Member: $500 (after February 15) Nonmember: $575 (after February 15) Method of Payment:* Pay online with your credit card through PayPal, no signup necessary Email with Credit Card Number to info@sflerp.org Mail in with Check Pay by Purchase Order (add $20 processing fee) Total $0.00 Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name SFLERP FIN Number: 23-7283877 Δ