| NOTE:
Full payment must be included
with all registrations to obtain
advance prices. Payment may be made
by check (payable to SEOUC), 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 |
Last
Name |
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Company |
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|
Title
|
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|
|
Address |
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| Address
2 (Suite, Building, Apt.#, etc.) |
|
|
|
City |
State/Region |
|
|
/
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|
Zip/Postal
Code |
Country |
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|
Phone |
Extension |
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: |
|
|
| Will
you be attending lunch on Wednesday?
|
| Will
you be attending the reception on
Wednesday?
|
| Will
you be attending lunch on Thursday?
|
| |
| Participant
Profile: |
Which
category best describes your
current job function?
|
| Please
specify if you chose other category: |
|
|
| What
are your primary areas of interest?
- Select all that applies
- |
|
|
| |
| SEOUC
Conference |
| Early
Registration (On or before
January 30, 2009
)
$275.00 |
| Late
Registration (After
January 30, 2009)
$340.00 |
|
| |
| SEOUC
Conference Registration
|
| Choose
a Registration Rate
|
| VIP
Passcode:
|
|
CANCELLATION
POLICY
Cancellation Policy: Participants
will receive a 50% refund of
the registration fee if notice
is provided in writing before
January 30, 2009. Cancellations
must be either e-mailed to shannon@seouc.com
or faxed to 910.792.9733. After January 30, 2009, 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. |
|
|
