ALTERNATIVE PAYMENTS SUMMIT |
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San Antonio, TX/November 28 & 29, 2006 |
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Registration: By
Phone: For
immediate registration call By
Mail:
Complete and mail the registration form to: By
Fax:
Fax us the completed registration form at By
Email:
Email us at info@pelorus-group.com Conference
Schedule:
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General
Conference Fee And Payment:
Cancellations: |
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Hotel
Accommodations: |
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REGISTRATION |
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Name: _____________________________________________ |
Email: ___________________________________ |
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Name: _____________________________________________ |
Email: ___________________________________ |
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Name: _____________________________________________ |
Email: ___________________________________ |
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Company: _____________________________________________________________________________________ |
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Address: ___________________________________________ |
Suite/Room/Mail Stop: _______________________ |
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City/State/Country/Postal Code______________________________________________________________________ |
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Phone Number: ___________________________________________ |
Fax Number: ______________________________ |
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TOTAL |
METHOD OF PAYMENT: | ||
| REGISTRATION FEES | |||
| Check Enclosed ______ | |||
| General Registration |
$1,495 |
$_____ |
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| Multi-Delegate Discount |
$1,295 |
$_____ |
Bill my company. P.O. #________ |
| (A discount of $200 per person is available when groups of two or more from the organization registers as a team.) | Credit Card (Most Major Credit Cards Accepted) | ||
| Sponsor Client Fee* |
$1,195 |
$_____ |
________________________________________ |
| Card Type Account # | |||
| ________________________________________ | |||
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Expiration Date |
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| ________________________________________ | |||
| Signature |
* All Corporate Clients Of Any "Alternative Payments Summit" Sponsor Receive A 20% Discount.
The PELORUS Group
33 Second Street, Suite J, Raritan, NJ 08869
Phone: (908) 707-1121, Fax: (908) 707-1135
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