Attendee Registration &
Corporate Sponsor Information
Wednesday, April 25, 2007
Crowne Plaza
Foster City, CA 94404
11:45 AM to 1:30 PM
Please Select One of the Following:
Choose one
YES!
to attend as an Individual with guest or Corporate Sponsor.
YES!
I would like to attend the "Awards of Excellence" Event
$60 per person, $65 after April 15th, Please list any guests, who will be attending below.
YES!
We would like to be a Corporate Sponsor for $1000
Corporate Sponsor Includes 8 seats and promotions *Chairman's Circle Members Recieve 15% Discount on Sponsorship. *Members Recieve A 10% Discount on Sponsorship.
We will provide SAMCEDA with
(please check all that apply):
200 Pieces of literature for event
Color Corporate Logo for Program and electronic display
Registration Submitted by
Name
Oraganization
Address
City, State, Zip
Telephone
Fax
E-Mail
Payment Information
NOTE: Credit card information is NOT encrypted for Privacy over the internet. Please do not send credit card information over the internet at this time. Credit card information may be faxed to SAMCEDA at (650) 345-6896 or called in at (650) 345-8300.
Registration Fee
Sending Check
Credit Card
Visa
Mastercard
Name on Account *
* Please have your
Account Number
and
Expiration Date
information at the time you call in for Credit Card Transaction.
Cancellation Policy:
No refunds, however subtitutions are welcome.
Your registration is NOT a charitable contribution, however, it may be a deductible business expense.
Name and Company/Organization of your 8 Attendees
(Please check the box following the name for a vegetarian meal)
Name
Meal
Organization
1
2
3
4
5
6
7
8
