If you would prefer to print a registration form and fill it out by hand, you can download a PDF application form.
| Company Information As you want it to appear in the Business Referral Directory |
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| First Name: | |
| Last Name: | |
| Title: | |
| Phone: | |
| Company Name: | |
| Address: | |
| City: | |
| State: | |
| Zip: | |
| Email Address: | |
| Website: | http:// |
| One or two word business description: | |
| A LA CARTE ITEMS | |
| Tickets: Additional Mixer admission tickets at a discounted rate |
$10 |
| Electricity: | $75 |
| List item to be powered: | |
| End Cap/Corner Booth Upgrade: | $100 |
| Directory Advertising: Deadline August 24, 2007 | |
| Eighth Page ad in Business Referral Directory (size 5 x 1.875) PLUS receive 1 free admission ticket) |
$125 |
| Half Page ad in Business Referral Directory (size 5 x 3.75) PLUS receive 2 free admission tickets) |
$200 |
| Full Page ad in Business Referral Directory (size 5 x 8) PLUS receive 4 free admission tickets) |
$300 |
| Tabletop Space Packages | |
Standard Networking Package - $400
Bonus Networking Package - $600
Premier Networking Package - $800
Ultimate Networking Package - $1300
At VIP Kick-off Event Held Three Weeks Before Largest Mixer:
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| Choose a Package: | |