Cutoff Date:  August 20, 2008
Please enter the information as you would like it to appear on your badge.

Company:

Street/Mailing Address:

City:                                                             State:                                        Zip:
                

Phone:                                       Fax:
           

 

Name:
   

Email Address:

 

Second Person (if applicable):
   

Email Address:

 

Third Person (if applicable):
   

Email Address:

 

Fourth Person (if applicable):
   

Email Address:

 

Fifth Person (if applicable):
   

Email Address:

Hotel Registration Form

Please fill out one line for each room booked, not each person.

Name:
      

Arrival Time:                       Arrival Date:                       Departure Date:                    
 

Name:
      

Arrival Time:                       Arrival Date:                       Departure Date:                    
 

Name:
      

Arrival Time:                       Arrival Date:                       Departure Date:                    
 

Name:
      

Arrival Time:                       Arrival Date:                       Departure Date:                    
 

Name:
      

Arrival Time:                       Arrival Date:                       Departure Date:                    

*Room Rates (Single or Double):

  • Room Rate:  $159  Single/Double Occupancy

*Room rates listed do not include a 9% room tax and are on a first come, first serve basis.

The following pages will take you to our online credit card form.  Before proceeding, choose how you wish to use your credit card.

 

To proceed with this online order form, please enter the last four digits of the major credit card (Visa, MasterCard or American Express) you will be using to complete online registration.