First Name: ______________________ Last Name: ______________________________ Address: _________________________________________________________________ City: ____________________________ State: _______ Zip Code:_________________ Home Phone: ( ) ________________ Work Phone: ( ) _______________________ Email: __________________________ School District: ________________________
Conference Registration - $425 (Includes both days)
June 26 & 27, 2009 Marriott San Antonio Northwest Loop $____________ 3233 Northwest Loop 410
San Antonio, TX 78213
For Housing call (210) 377-3900 / Conference Rate $99.00 per night
July 17 & 18, 2009 Hilton Phoenix Airport $______________
2435 S. 47th Street
Phoenix, AZ 85034
For Housing call (480) 894-1600 / Conference Rate $94.00 per night
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Payment Information
FAX registration form with credit card information to (949) 481-3864Mail registration form with payment, payable to Encompass Event Planners to: 5713 Calle Polovorsa, San Clemente, CA 92673Check Enclosed (Payment in full) written to Encompass Event PlannersPurchase Order Enclosed. You must attach the purchase order to the registration form, no requisitions will be accepted.Credit Card - Please bill my credit card. We accept Visa, MasterCard, and American Express.
CC#_____________________________ Expiration Date: ________________
Name on Card:____________________ Signature: _____________________
Confirmation: All conference registrants will receive a confirmation postcard via mail. All registration materials including your name badge may be picked up onsite.
Cancellations: All cancellations must be received in writing by May 28, 2009 for San Antonio and June 17, 2009 for Phoenix. Cancellations received after these are non-refundable. There will be no exceptions.
Encompass Event Planners 5713 Calle Polvorosa - San Clemente, CA 92673 Phone (949) 547-6664 or (949) 351-7374 FAX (949) 481-3864
For more conference information - http://encompasseventplanners.com
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