First Name:
Last Name:
Title:
Organization:
EXACTLY as it should appear in printed materials
Address 1:
Address 2:
City:
State:
Zip:
Work Phone:
(###) ###-#### Format
Cell Phone:
(###) ###-#### Format
Email Address:
Years of Experience?
0-5
6-10
11-15
15+
Are you a current AFP member?
Yes
No
If yes, what is your AFP Membership number?
Name of the AFP Chapter you belong to:
If no, would you like to receive AFP membership information?
Yes
No
Did you attend last year's conference?
Yes
No
Any past conferences?
Yes
No
Registration Type:
Group registration rates require three or more attendees from the same organization. For Group AFP Member rate, at least one registrant must be a current AFP member. If none of the registrants from your organization is a current AFP member, please select the Group Non-Member rate.
Cancellation Policy:
Please check the box to indicate that you have read and understand the following policy.
DFW Philanthropy Conference Cancellations / Refund Policy: — Refund of conference registration fee, less an administrative fee of $25, will be made if written notice of cancellation is received no later than Wednesday, May 17, 2023. Registrants whose cancellation requests are received after Wednesday, May 17, 2023 will NOT be entitled to a refund. Cancellation of registration for this event must be made in writing and mailed to the address above. Substitute attendees will be permitted (with appropriate documentation). Refunds will be processed after the conference. Email
or call 972.233.9107 x204 if you have any questions.
Accommodations:
The AFP Dallas and Fort Worth Metro Chapters are committed to providing universal access at the Philanthropy in Action Conference. Please notate any accommodations that you will need to fully participate (including dietary).
Additional Registrations:
If registering as a group (three or more attendees from the same organization ), please supply the following information for each additional attendee. Please fill out this information as you would want it to show up on a name badge.
Names without a Registration Type selected will be ignored, so please be sure to select a registration type for each additional registration.
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal
First Name:
Last Name:
Email Address:
Experience:
0-5
6-10
11-15
15+
Title:
Registration Type:
Select One
$210 — Individual AFP Member - Normal
$195 — Group AFP Member - Normal
$280 — Individual Non-Member - Normal
$245 — Group AFP Non-Member - Normal