* Registration Information
Last Name ____________________________ First Name ________________________
Company ________________________________________________________________
Address _________________________________________________________________
City ___________________________________ State _____ Zip Code _________
Phone # (_____) ______________________ Fax # (_____) ___________________
Email ________________________________
Please check the box for each session you plan to attend. See the Session/Agenda for session names and content. This will allow us to put the presentations into the proper sized rooms. You can attend sessions from any track.
| Session | Track A | Track B | Track C | Track D | Track E |
|---|---|---|---|---|---|
| 1 | |||||
| 2 | |||||
| 3 | |||||
| 4 | |||||
| 5 |
* Conference Fee:
If payment is received prior to Oct 6th, you are entitled to the early bird discount payment. If after Oct 6th, or paying at the door the day of the conference, the total cost per individual is $225. Please understand taht we mean payment, and not just registration.
Early Bird Registration $185 __________ Late Registration $225 ______________
(___) Payment Enclosed (___)Will pay at the door (No early bird discount)
Total Amount Due: _____________ Make Checks Payable to FASUG
* Payment Information:
Please indicate form of payment. Payment must be included with this form, unless you are paying at the door. You will not be entitled to the early bird registration if paying at the door.
If you are paying at the door, please fax this registration back to (203)790-6056, so we know how many handouts to make.
* Cancellation Policy
Cancellations received in writing (mailed or faxed) no later than October 1st, will be refunded in full. No refunds for cancellations received within two weeks of the event. Those who register and indicate that they will pay at the door, must adhere to the cancellation policy, otherwise they will be invoiced.
How to register in advance:
Mail: FASUG c/o OS Solutions 36 Mill Plain Rd., Suite 304 Danbury, CT 06811 Fax: (203) 790-6056 Phone: (203) 744-7854 Ext 10Signature ____________________________________________________