General Information
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First Name :
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Last Name :
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Agency Name :
Title :
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Phone Number :
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Email Address :
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Mailing Address :
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City :
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State/Province/Region :
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Country :
Choose One
United States
Canada
United Kingdom
Australia
New Zealand
Ireland
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Zip/Postal Code :
Dietary Info
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Do you have any special dietary needs?
Yes
No
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Details :
Spouse/Guest Info
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My spouse or guest will be joining me at VisiCon:
Yes
No
(Additional payment for spouse/guest program, meals and evening activities required)
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Spouse/Guest Name :
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Spouse/Guest Payment Method
Advance discounted payment of $200 enclosed for spouse/guest program and all meals, breaks, receptions and VisiFest.
I will pay for my spouse/guest at registration. ($75 for spouses program, $175 for all conference meals and receptions, $50 additional for VisiFest).
Payment Info
Please select registration payment method. Upon submission of registration, an invoice will be mailed to you. All registration payments must be paid prior to the conference. In order to receive the Early Bird Registration Discount of $695, TriTech must receive payment by July 15, 2009.
$695 - Early bird (before July 15)
$795 - After July 15
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Payment Method
One Complimentary User Seat per Agency
Fee Paid with Annual Support Renewal Agreement
Fee Paid with Maintenance Pool Fund
Check Payable to TriTech Software Systems
Purchase Order
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PO
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Credit Card (Visa, MC, Amex)
Additional Notes
List any additional notes or details about this registration order (Optional):
Cancellation policy:
All cancellations/substitutions must be made in writing. If a client cancels their VisiCon registration, the registration fees will be rolled over as credit for the next year's VisiCon or into their maintenance pool. If a client would like a refund they must provide written notice two weeks prior to the conference start date, and we will provide them a refund minus a $100 processing fee.