Your form will be delivered electronically to the NCPA e-mail box for processing. You may also copy this form to your printer, complete it manually, and submit it with your checks by U.S. Mail. NCPA Member Number Name Designation R.Ph. I will make my appointment with my representative and senators by April 2, 2001. Reference NCPA when making reservations to receive the conference rate.
Reservations are on a first come, first serve basis now.
You may change any information by selecting and typing over the text you have entered in specific boxes or selecting an alternate radio button. If you have a disability, please describe your special needs. Arrival Date Departure Date Sharing room with Hotel Deposit Rooms must be guaranteed by major credit card for room deposit equal to the rate for one night. Credit card numbers are to guarantee your reservation. The hotel will charge the rate for one night if the guest does not show on arrival date and fails to cancel 48 hours in advance of arrival date.