An * means required information.

*Today's Date:

Dr. Mr. Ms. Mrs.

*Your Name:

*Possition:

*Company Name:

*Address:

*City, State, Zip:

*Country:

*Phone Number:

 Fax Number:

*E-mail :

  Registration Rate of $1,195 (includes binder and CD)

  Early-Bird Discount if paid before May 9, 2008 of -$100
Only one discount to apply to each registrant. No multiple discounts.

  Additional Registrant from Same company of $1,095 each
Only one discount to apply to each registrant. No multiple discounts.

  Table Top Exhibit Space (for Registrants Only) - $500

  Golf Event Fee: $175

Conference Proceedings Only (for those who are not able to attend conference)
Contains copies of all Speakers' handouts (tables, charts, graphs and slides), CD of presentations and complete attendee list. Available by June 30, 2008:

Ship within the U.S. $350

Ship to Foreign Address $395

 *Total Amount Due ............

  Check Enclosed  MasterCard Visa  AMX   

Credit Card Number:

Expiration Date:

Cardholders Name:

Cancellation Policy - There is no charge for cancellations or substitutions received in writing prior to May 9, 2008. After that date, no refunds will be given, but Conference Proceedings will be provided. If you cannot attend, you are welcome to send a replacement at no additional charge. Because we are responsible for our commitment to the hotel, payment may not be applied to a future Imaging Materials Seminar Conference. FORCE MAJEURE - Should this event be cancelled or terminated as a result of conditions beyond the reasonable control of The Tiara Group, such as, but not limited to: earthquakes, hurricanes, fires, floods, war, strikes, acts of God, government restrictions, power failures, or other force majeure events, Tiara shall not be liable for any damages or inconveniences suffered by any attendees, registrants, guests, speakers or sponsors beyond the return of a pro rata share of the registration fee, if any, paid to Tiara.

To Register With The Hotel - Please contact Fess Parker's DoubleTree Resort directly at 805/564-4333. Mention The Tiara Group Toner & Photoreceptor Conference to take advantage of our special rates.