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Programs and Events
Environmental and Restoration Conferences
November 1-4, 2006 – Denver, CO
REGISTRATION FORM
ATTENDEE INFORMATION
* = REQUIRED FIELD
Company:
*
Address:
*
City:
*
State:
*
Zip:
*
Phone:
*
Fax:
*
Contact Email:
*
Please select all that apply for each attendee.
Attendee 1:
*
Environmental
Restoration
Workshop #1
Workshop #2
Attendee 2:
Environmental
Restoration
Workshop #1
Workshop #2
Attendee 3:
Environmental
Restoration
Workshop #1
Workshop #2
Attendee 4:
Environmental
Restoration
Workshop #1
Workshop #2
Attendee 5:
Environmental
Restoration
Workshop #1
Workshop #2
Attendee 6:
Environmental
Restoration
Workshop #1
Workshop #2
REGISTRATION PROCESS
1. For the attendees listed above, please check all that apply.
*
2. If a person is attending both the 1-Day Environmental Conference AND the 2-Day Restoration Conference, check the
combined
event only.
1-Day Environmental Conference
(RIA member)
Qty @$325
$
1-Day Environmental Conference
(non-member)
Qty @$425
$
2-Day Restoration Conference
(RIA member)
Qty @$595
$
2-Day Restoration Conference
(non-member)
Qty @$795
$
Environmental & Restoration Conferences
(RIA member)
(save $100)
Qty @$820
$
Environmental & Restoration Conferences
(non-member)
(save $100)
Qty @$1120
$
Saturday Xactimate 24 Workshop # 1
(RIA member)
Qty @$139
$
Saturday Xactimate 24 Workshop # 1
(non-member)
Qty @$189
$
Saturday Marketing Workshop # 2
(RIA members only)
Qty @$139
$
TOTAL AMOUNT DUE:
$
PAYMENT
Registration will only be processed with payment.
Please charge my
American Express
MasterCard
Visa
for the total of $
Cardholder name
Credit card number
Expiration Date
Month:
01
02
03
04
05
06
07
08
09
10
11
12
Year:
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
CANCELLATION POLICY
Written cancellation received 30 days or more before the conference date will be granted a full refund; those received with less than 30 days notice will be subject to a $100 processing fee per attendee. Substitutions accepted at no additional charge. No-shows are not refundable.
SUBMIT
You may also FAX this form to:
(443) 878-1010
or
MAIL this form (with payment) to:
RIA International
9810 Patuxent Woods Dr., Suite K
Columbia MD 21046-1595
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