FOR ONLINE PAYMENT (last day for online payment is July 23th)

1. Please complete the following form to indicate your menu choice. Then click the SUBMIT button which will send your information to CPSA.
2. On the next page, please click Add to Cart next to the Awards Banquet listing. You will have a chance to "View Cart" before your final Check Out. The payment section takes place on the secure PayPal site.  You will be returned to the CPSA Website when your purchase is completed.
3. If you are registering more than one person, please indicate the name and menu choice for each person.

Please complete the following information (starred fields are required):

First/Middle Name* Last Name*
Street Address*
City*    State* Zip Code*
Phone* include area code; if no phone, write "none"
Email* (an email is required by this form and is used for notification purposes only. If you cannot provide one, please write "none" on the blank.)

Additional Information:

Food Allergies for any of your attendees? yes   no   If the answer is "yes", please list below the person's name and any food allergies pertaining to this banquet meal.


  (This will send your current information to CPSA.)

After you submit this information, you will see the CPSA Shopping List. Clicking any "Add to Cart" button takes you directly to the PayPal Shopping Cart. From there you can return to the CPSA Shopping List by selecting the "Continue Shopping" button. When you are ready to complete your purchase, click "Proceed to Checkout" on the PayPal Shopping Cart. You will then enter your payment information on the secure PayPal site. You will be returned to the CPSA Website when your purchase is completed.