Registration Form in pdf format

March 12-14, 2006
Hyatt Regency
Savannah, Georgia
General Information

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 :
How did you hear about this conference?
 Registration Rate of $1,095 (includes binder and CD)
 Early Bird Discount of $100.00 if paid before Feb. 12, 2006 
 Additional Registrant from Same company of $995 each
 Table Top Exhibit Space (for Registrants Only) - $500
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 March 31, 2006:
Ship within the U.S. $350
Ship to Foreign Address $395

 *Total Amount Due ............
  Pay by Check  MasterCard Visa  AMX   

Credit Card Number:

Expiration Date:

Cardholders Name:

For questions or further information
call Terry Gorka, Managing Director
at 805/659-2298 or
e-mail [email protected].

Cancellation Policy - There is no charge for cancellations or substitutions received in writing prior to February 12, 2006. 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, acts of terrorism, governmental restrictions, power failures, or other force majeure, prepaid Registration Fees shall not be refunded, but shall be credited for use by Registrants, or their fellow employees of the same company, toward any other Imaging Materials Seminar produced by The Tiara Group within a period of two (2) years from the date of this Event.