School Response Conference 2011 Registration form

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    School Response Conference 2011

    CaliforniaREGISTRATION CODE: SRC-AW

    Sales Contract

    Website: www.src.eve-ex.com/californiaEmail : [email protected]

    Phone: 1.425.996.7188

    Fax: 1.425.968.7400

    Post: PMB 2657

    1420 NW Gilman Blvd, Suite # 2

    Issaquah, WA 98027

    Group Registration

    elegates Detail

    Cancellation, Postponement, and

    Substitution Policy

    Payment Terms

    We value group learning. Multiple registratio

    from the same company receive this discount

    Register 4, Send 5 th Free! (applicable duration before event)10% discount for 6 or more

    15% discount for 8 or more

    * Discounts 10% & 15% is exclusive of ear

    bird discounts.

    CANCELLATION AND SUBSTITUTION POLICY Provided

    has been paid in full, substitutions at no extra charge can be ma

    25 business days before the start of the conference. Cancellatio

    be received in writing or by fax to +425-.802.8801, more than

    before the conference is to be held in order to obtain a full cr

    any future conference. Cancellations received 25 days or less

    ing the seventh day) prior to the conference will not be credite

    event that Events & Exhibitions cancels an event, payments r

    at the cancellation date will be credited towards attendance

    ture conference, or in the event of postponement by Events &

    tions, a rescheduled date. Events & Exhibitions reserves the

    postpone or cancel an event, to change the location of an eve

    alter the advertised speakers for an event. Events & Exhibition

    responsible for any loss or damage as a result of substitution

    tion, postponement, or cancellation of an event due to causes

    its control including without limitation, acts of God, natural d

    sabotage, accident, trade or industrial disputes, terrorism, or ho

    SPEAKER CHANGES Occasionally it is necessary f

    sons beyond our control to alter the content an

    ing of the programme or the identity of the s

    DATA PROTECTION Your details may be passed to other com

    who wish to communicate with you offers related to your busines

    ties. If you do not wish to receive these offers, please tick the bo

    Please do not pass my information to any third party

    Payment is due in full upon completion and return of the regis

    form. Due to limited conference space we advise early registra

    and payment by credit card to avoid disappointment. Your regi

    tion will not be conrmed until payment is received. Admissio

    conference will be refused if payment has not been received.

    LEASE REGISTER THE FOLLOWING & Fax to 1.425.968.7400

    ll Name _____________________________________________________________________

    b Title ______________________________________________________________________me Preferred for Badge ________________________________________________________

    mail __________________________________ Fax ______________________

    Ofce ________________________ Mobile __________________________

    mpany _____________________________________________________________________

    partment ___________________________________________________________________

    ture of Business ______________________________________________________________

    ebsite ______________________________________________________________________

    dress ______________________________________________________________________

    y, State _____________________________________________________________________p Code _______________________ Country _______________________________________

    legates Signature ______________________________ Date ________________________

    he Invoice is to be addressed for the attention of a different person than the delegate, please

    mplete the details below:

    ll Name ____________________________________________________________________

    mail ________________________________________________________________________

    Registration TypeEarly Bird Rate

    Until March 31, 2011

    Standard Rate Until

    May 20, 2011

    ) Student 250 usd 300 usd

    ) Education/Academe/

    Government/NGO350 usd 400 usd

    ) Private/Commercial 600 usd 700 usd

    ote: Registration Fee is inclusive of 1 day event registration, breakfast, lunch, & refreshment breaks.

    ease debit my credit card:

    Visa Master Card AMEX Discover Security Code_______________

    isa and MC cards have a 3 digit code on the signature panel on the back of the card, following

    e account number. American Express cards have a 4 digit code on the front of the card, abovee card number.

    ard Number (16-Digit) _________________________________________________________

    xpiry Date __________________________________________________________________

    ame Printed On Card __________________________________________________________

    gnature _____________________________________________________________________

    lling Address ________________________________________________________________

    lling Zip Code_______ Or enclosed is a check for $_________ to cover __________persons.

    Check here if you have any dietary or accessibility needs. We will contact you for more

    tails. Please Note: If you have not received an acknowledgement conrming your booking,

    ease call us at 1.425.996.7188. Our EIN 27-0494399

    s document when signed by the Delegate constitutes a binding legal agreement. The Delegate agrees that upon receiving this application and

    es contract by Events & Exhibitions, with or without appropriate payment, this application and sales contract shall become a legally binding

    ntract, enforceable against the Delegate in accordance with its terms. By the above signature, the individual signing this document represents

    d warrants that he/she is dul y authorized to execute this bind ing contract on behalf of the Delegate. The Delegate agrees to be bound by theormation and terms on this page herein. Fax copy is accepted and has the same power as an original copy.

    Your Registration Code is SRC-AW

    Please use this when registering for th

    conference.


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