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FLEXO Magazine : February 2010
REGISTRATION FORM REGISTRATION FORM $ MONEY SAVING TIPS $ Register at the Early Bird rate to save $200 (Deadline: March 5) Buy 2, Get 1 FREE on Full Forum registrations for Printers/Converters/CPC’s First Name Last Name titLe emaiL COmPaNy address diVisiON City state/PrOViNCe ZiP/POstaL COde COuNtry PhONe Fax authOriZed sigNature (registrations cannot be processed without signature) date o YES, sign me up to attend Saturday’s free FIRST Press Operator Certification Level I course (a $495 value!) See page 4. o YES, sign me up to attend Saturday’s free Software Tutorial session. See page 4. FULL FORUM ATTENDEE (see registration information for complete details) $200 Early Bird Savings (through March 5, 2010) March 6 - April 23, 2010 April 24, 2010 - Onsite FTA Member Non-member FTA Member Non-member FTA Member Non-member Consumer Products Company Forum Attendee o $295.00 o $590.00 o $495.00 o $990.00 o $595.00 o $1,190.00 Printer/Converter Forum Attendee o $545.00 o $1,090.00 o $745.00 o $1,490 .00 o $845.00 o $1,690.00 General Forum Attendee o $795.00 o $1,590.00 o $995.00 o $1,990 .00 o $1,095 .00 o $2,190.00 FTA Educator Member Forum Attendee (1st free, see below for each additional) o $0.00 o $0.00 o $0.00 FTA Educator Member – Additional o $395.00 o $495.00 o $545.00 FTA Student Member Forum Attendee o $0.00 o $0.00 o $0.00 INFO*FLEX ONLY ATTENDEE (see registration information for complete details) Early Bird (through March 5, 2010) March 6 - April 23, 2010 April 24, 2010 - Onsite FTA Member Non-member FTA Member Non-member FTA Member Non-member Printer/Converter/CPC o $95.00 o $190.00 o $95.00 o $190.00 o $125.00 o $250.00 General (exhibiting company) o $150.00 o $300.00 o $150.00 o $300.00 o $175.00 o $350.00 General (non-exhibiting company) o $395.00 o $790.00 o $495.00 o $990.00 o $595.00 o $1,190 .00 ADDITIONAL OPTIONS Qty. Through April 24, 2010 After April 24, 2010 - Onsite Total Awards Banquet o $125.00 o $150.00 Golf (Average and/or Handicap ________ ) o $150.00 o $150.00 METHOD OF PAYMENT Grand Total:_____________ Please charge the following credit card: o AMEX o MASTERCARD o VISA Paying by check: (u.s. funds only. add $30 fee for checks drawn on a non-u.s. bank) o Check ________________ Card Number: Exp. Date: CVC #*: Cardholder Name: Cardholder Signature: *Enter the 3-digit code from the back of your Visa or MasterCard. Enter the 4-digit code from the front of your American Express. FLEXO_FEB Return by mail or fax: FFTA Customer Service Dept. 900 Marconi Ave., Ronkonkoma, NY 11779 Fax: 631-737 -6813 Cancellation Policy: Full Forum cancellation requests must be submitted in writing prior to March 12, 2010 and will incur a $100.00 processing fee. If you must cancel after that date, please consider sending a substitute (in writing), as no refunds will be issued after this date. No-shows are not eligible for refunds. Because the Golf Tournament is a charitable event, no refunds will be given should the event be rained out.