KingsBridge Systems Seminar Registration Form

These seminars fill up quickly, so be sure to reserve your seat early.

All prices are in US dollars and are per person. There is a 10% discount if more than one person from the same company registers at the same time for the same seminar. If you register more than 30 days before the start of a seminar, an early bird discount of 15% applies for that seminar.

Early registration will also help you to get the best travel and accommodation rates.

If you wish to fax in your order with a Purchase Order, please fill the following form, print it, and fax it along with your signed purchase order to 1 (613) 232-1200.

Choose Your Seminar Dates and Locations

Seminar	Date	Location	Cost	Number of Places
Effective Recovery Planning and Maintenance (BIN-300)	12–13 Sept, 2009	San Diego, California (DRJ Fall World)	TBD

Attendee Names We need the names of attendees prior to the seminar. You may substitute attendees if you notify us of the name changes prior to the seminar. If different people will be attending different seminars, please note who will be attending which seminar in the comments field at the end of this form.
Attendee 1:
Attendee 2:
Attendee 3:
Attendee 4:
Attendee 5:
Attendee 6:

Contact Information
First Name:
Last Name:
Email:
Title:
Company:
Mailing Address:
City:
State:
Zip or Postal Code:
Country:
Telephone:
Fax:

Payment Information
1. Purchase Order
Purchase Order #:
(Please fax your signed Purchase Order with a completed copy of this form to: 1 (613) 232-1200)
2. Credit Card
Card Type:
Card Number:
Name on Card:
Card Expiry:	/
3. Comments or Special Instructions
Comments:
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KingsBridge Systems Seminar Registration Form

Choose Your Seminar Dates and Locations

Attendee Names

Contact Information

Payment Information

1. Purchase Order

2. Credit Card

3. Comments or Special Instructions