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FLEXO Magazine : January 2008
l>a 1den An . Q .iili., -0 -.iII ß "::::I=->i.a.=\"'. - =J" Registration Form Inr Ô6 FIRST NAME LAST NAME TITLE EMAIL COMPANY ADDRESS DIVISION CITY I STATE/PROVINCE ZIP/POSTAL CODE I COUNTRY PHONE FAX AUTHORIZED SIGNATURE (Registrations cannot be processed without signature) DATE REGISTRATION OPTIONS Early Bird After March 14 - April 18, 2008 After April 18, 2008 (On-site) (through March 14, 2008) (see Registration Information for details) FTA Member Non-member FTA Member Non-member FTA Member Non-member Full Forum Attendee D $895.00 D $1,790.00 D $995.00 D $1,990.00 D $1,095.00 D $2,190.00 Printer/Converter/Consumer Product Company D $645.00 D $1,290.00 D $745.00 D $1,490.00 D $845.00 D $1,690.00 Daily Pass - Monday, April 28, 2008 (Printer/Converter/CPC Only) D $395.00 D $790.00 D $395.00 D $790.00 D $395.00 D $790.00 Daily Pass -Tuesday, April 29, 2008 (Printer/Converter/CPC Only) D $395.00 D $790.00 D $395.00 D $790.00 D $395.00 D $790.00 Full Forum Retiree D $0.00 D $0.00 D $0.00 D $0.00 D $0.00 D $0.00 Educator (1st free, each additional at 50% Full Forum rate) D $0.00 D $0.00 D $0.00 Additional Educator D $447.50 D $497.50 D $547.50 Student D $0.00 D $1,790.00 D $0.00 D $1,990.00 D $0.00 D $2,190.00 INFO*FLEX Only D $75.00 D $150.00 D $75.00 D $150.00 D $75.00 D $150.00 ADDITIONAL OPTIONS Quantity Cost Per Person Total (see Registration Information for details) Through April 18 After April 18 (On-site) Banquet Only $95.00 $125.00 Golden Jubilee Only $75.00 $95.00 Banquet & Golden Jubilee Package (save 10%) $150.00 $195.00 Golf (Average and/or Handicap ) $125.00 $125.00 PAYMENT METHOD GRAND TOTAL DUE: PAYMENT BY: D AMEX D VISA D MASTERCARD OR D CHECK # CARD NUMBER EXP DATE I 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. Cancellation Policy: Full Forum registration cancellation requests must be submitted to FFTA in writing prior to March 14, 2008 and will incur a $100.00 processing fee. If you must cancel after March 14, 2008, please consider sending a substitute in your place, as no refunds will be issued after this date. Substitute names must be provided in writing. 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. Return by mail or fax: FFTA Customer Service Dept. 900 Marconi Ave Ronkonkoma, NY 11779-7212 USA Fax: 631-737-6813 00 o (D lL