Rhode Island Regional Meeting Registration Form
Wednesday, 3/3 (8:00 am to 4:30 pm) & Thursday, 3/4 (9:00 am to 1:00 pm)

Crowne Plaza at the Crossings
Warwick, Rhode Island

Check in 3:00 p.m. / Check out 11:00 a.m.

Regional Meeting Registration Fee is $150.00 per person (includes all meeting materials, breakfast and lunch both days, and a cocktail reception .

If you prefer to fax (401-823-5540) your registration form(s), please click here to download the registration form.

All registrations are automatically charged to your agency account following the regional meeting.
If you would like to pay the registration fee with Arpin Dollars, please mail the Arpin Dollars to Kathy Frazier's attention at the corporate office prior to the meeting
(note: Arpin Dollars may be used for the meeting registration fees only).

If you submitted a discount form for the Regional Meeting during our 2009 Annual Agent Convention, your Regional Meeting registration fee is $125.00 per person.
If you didn't submit a discount form at the 2008 Annual Agent Convention but you register by January 1st, you will save $25.00 per agency for the Regional Meeting.
All persons attending the regional meetings and activities (including the cocktail reception) must register.

Rhode Island Regional Meeting Registration Deadline - February 5th
We have a limited number of rooms at the Crowne Plaza at the Crossings at our special regional meeting rate of $105.00/night single or double occupancy. Hotel registrations are available on a first come, first served basis only so early registration is strongly advised.

CANCELLATION POLICY: All cancellations must be received by e-mail (kfrazier@arpin.com) or fax (401-823-5540) no later than February 5th for the Rhode Island Regional Meeting. Cancellations received after February 5th will be subject to a cancellation fee of 100% of the regular registration fee (or $150.00/person). Arpin Van Lines also reserves the right to charge your agency for hotel attrition charges incurred due to cancellations received after February 5th.

Rhode Island Regional Meeting Registration Information

Agency Name (required):

Email Address (required):
Agency Account Number (required):

Phone Number:

Please list the first and last names of all attendees:

Hotel Room #1

Name(s)
Check In Date
Check Out Date

Credit Card
Information
(NOTE: not secure)

Type:   
Card Number:   
Expiration Date (MM/YY):
Card Holder Name
Card Holder Phone Number
Additional Requirements
Non-Smoking       Smoking   
Other. Please Specify:

Hotel Room #2
Name(s)
Check In Date
Check Out Date
Credit Card
Information
(NOTE: not secure)
Type:   
Card Number:   
Expiration Date (MM/YY):
Card Holder Name
Card Holder Phone Number
Additional Requirements

Non-Smoking       Smoking    
Other. Please Specify:


Hotel Room #3
Name
Check In Date
Check Out Date
Credit Card
Information
(NOTE: not secure)
 Type:   
Card Number:   
Expiration Date (MM/YY):
Card Holder Name
Card Holder Phone Number
Additional Requirements
Non-Smoking       Smoking  
Other. Please Specify: