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FLEXO Magazine : December 2011
$ MONEY SAVING TIPS $ Register at the Early Bird rate to save $200 (Deadline: February 3) 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 FULL FORUM ATTENDEE (see Registration Information for complete details) $200 Early Bird Savings (through February 3) February 4 -- March 9 March 10 -- Onsite FTA Member Non-member FTA Member Non-member FTA Member Non-member Consumer Products Company o $295.00 o $590.00 o $495.00 o $990.00 o $595.00 o $1,190.00 Printer/Converter o $595.00 o $1,190.00 o $795.00 o $1,590.00 o $895.00 o $1,790.00 General 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 (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 o $0.00 o $0.00 o $0.00 INFO*FLEX ONLY ATTENDEE (see Registration Information for complete details) Early Bird (through February 3) February 4 -- March 9 March 10 -- 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 March 9 March 10 -- Onsite Total Awards Banquet o $125.00 o $150.00 Golf (Includes green fee, boxed lunch & reception) 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_DEC Return by fax: 631-737-6813 Cancellation Policy: Full Forum cancellation requests must be submitted in writing prior to February 10, 2012 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. REGISTRATION FORM