University Business - March 2008 - (Page EduComm7) University Business Magazine’s Registration Form June 18-20, 2008 • Las Vegas Register before April 25, 2008 to take advantage of special Early Bird rate of only $495. Use one form per registrant. Duplicate this form for multiple registrants. There are three ways to register: ONLINE FAX MAIL www.EduCommConference.com This is a secure payment site. For questions about payment, please contact Donna Levin at 203•663•0108 Fax this form to: 301•694•5124 Mail this form to: Experient, c/o Educomm P.O. Box 4088 Frederick, MD 21705-4088 registrants and Team Discount: Pay for two conferencethree registrantsbring a third colleague from your organization FREE! All must be received at the same time General Information First Name Job Title Institution or Company Address Address Line 2 City Country Phone Email Address (required) I require special assistance. (Please describe your needs) Fax State/Providence Zip/Postal Code Last Name Conference Fee Schedule Conference fee includes full two-and-a-half-day conference, Opening Night Reception and FREE access to the InfoComm and NXTcomm exhibit halls. Check appropriate rate below: Early Bird Rate (1/15 - 4/25) . . . . . . . . . . . . . . . . . . . . . . $495 Advance Registration (4/26 - 6/9) . . . . . . . . . . . . . . . . . . $545 Onsite (After 6/9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $595 Third member of a team registering together . . . . . . . . .FREE ** **You must indicate below the two other members of your team to qualify for FREE registration. Two of the three team members must be paid registrants from your organization. Name #2 Name #3 Two Choices for Payment Payment is required for registration. You may pay by check or credit card. Check or money order enclosed in the amount of: $ (Make payable to ProMedia Group in US funds.) Charge my: Did you attend EduComm last year? Yes No Card Number How did you hear about EduComm? Ad Direct Mail Previous Attendee Please indicate your equipment purchasing authority: Authorize Recommend E-mail Other: Website Expiration Date American Express Visa Mastercard Discover Credit Card Security Code (3 digits on back of card) None Cardholder’s Name What is your annual budget for AV communications equipment and services? Over $10 Million $100,000-$499,999 $5,000,000-$9,999,999 $50,000-$99,999 $1,000,000-$4,999,999 $10,000-$49,999 $500,000-$$999,999 Less than $9,999 I wish to receive EduComm/InfoComm updates via email. I grant permission for EduComm to release my contact and demographic information to select sponsors. Signature Completed registrations may not be cancelled online. The cancellation and refund requests must be submitted in writing. A full refund will be issued for cancelled registrations if written notice with badge included (if applicable) is postmarked/faxed by May 16th, 2008. Cancellation notices with badge included (if applicable) postmarked/faxed between May 17-June 10 will be subject to a $25 processing fee. No refunds after June 10. Fax cancellation requests to Experient at 301•694•5124. Mail cancellation requests to Experient, P.O. Box 4088, Frederick, MD 21705. http://www.EduCommConference.com http://www.EduCommConference.com
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