| NOTE:
Full payment must be included
with all registrations to
obtain advance prices. Payment
may be made by check (payable
to VOUG), purchase order or
credit card authorization.
All
the fields
in
BOLD are
required. |
Personal
Information
(This
is how your name, company, city,
and state will appear on your
name badge.) |
First Name: |
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Last
Name: |
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Company: |
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| Title:
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Address: |
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Address
2: |
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City: |
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State/Region: |
/
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Zip/Postal
Code: |
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Country: |
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Phone: |
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Extension: |
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Fax: |
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E-Mail:
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| How
did you hear about our conference?
|
| Please
specify if you chose other:
|
|
|
| Dietary
Requirements:
|
| Please
specify if you chose other:
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|
|
| Will
you be attending lunch on Wednesday?
|
| Will
you be attending the reception
on Wednesday?
|
| Will
you be attending lunch on Thursday?
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| |
| Participant
Profile: |
| Are
you currently a member of
|
| If
none, which group would you
be interested in joining?
|
| |
Which
category best describes your
current job function?
|
| Please
specify if you chose other:
|
|
|
| What
are your primary areas of interest?
- Select all that applies
- |
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| |
| VOUG
Conference |
| Early
Registration (On or before
September 23, 2010
)
$275.00 |
| Late
Registration (After
September 23, 2010)
$340.00 |
|
| |
| VOUG
Conference Registration
|
| Choose
a Registration Rate
|
| Discount
Code:
|
|
CANCELLATION
POLICY
Cancellation Policy: Participants
will receive a 50% refund of
the registration fee if notice
is provided in writing before
September 23, 2010.
Cancellations must be either
e-mailed to shannon@voug.org
or faxed to 910.792.9733.After
September 23, 2010, no refunds
will be given. Substitutions
for a registrant are permitted
and must be made in writing.
Conference no-shows will not
receive a refund. |
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