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Spring 2007 Meeting Registration

Please fill out the form below to register for the NASDCTEc 2007 Spring Meeting.

Contact Information

Salutation
First Name
Last Name
First name as it should appear on name tag:
Organization/Company
Title
Address
Apt/Suite/Etc.
City
State
Postal Code
Phone
Fax
Registrant's Email
Assistant's Email

Meals

Please mark the meals which you plan on eating. Your meeting registration covers one dinner, two continental breakfasts, two lunches and breaks.

Date	Meal	Yes	No
03/22/2007	Continental Breakfast
03/22/2007	Lunch
03/23/2007	Awards Ceremony & Reception
03/23/2007	Lunch
03/23/2007	Continental Breakfast
03/24/2007	Continental Breakfast

Do you require vegetarian meals?

Please list any special needs:

Events

Please mark the events which you plan on attending.

Date	Event	Yes	No
03/20/2007	New Member Orientation
03/20/2007	New State Director's Session

Meeting Fee

Please mark the appropriate payment type	Check/Purchase Order Credit Card * NASDCTEc State Account * We will contact you by phone to collect your billing information for Visa or MasterCard
Please mark the appropriate fee	On or Before 02/26/2010 $400.00 Member Price $500.00 Non-Member Price After 02/26/2010 $450.00 Member Price $550.00 Non-Member Price

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Cancellation Policy: To receive a full refund, a cancellation request must be received by Tuesday, February 20, 2007. Cancellations received between Wednesday, February 21 - Monday, March 5, 2007 will be refunded the registration fee paid minus a $75 penalty. Cancellations received between Thursday, March 6 - Monday, March 13, 2007 will be assessed a penalty fee of one-half the registration fee. Cancellations received starting Wednesday, March 14, 2007, will result in no refund.

By checking this box I accept the terms of the cancellation policy above.