Potomac ATA Chapter - Registration

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REGISTRATION - TWO COMPLIMENTARY ATTENDEES

Uncover the Mystery of Compliance
Washington, DC (Hyatt Crystal City)
July 31, 2008

Our Potomac Chapter is excited to have you as their guest at this important event.

Please complete the following information to register. You are allowed 2 free attendees per company. Each attendee must be listed in the registration.

** If you have more than 2 attendees from your company, please click here to enter your credit card information for payment. If you prefer to pay by check or offline, you can print this registration form and mail or fax it in. If paying by check, please print the registration form and mail with your payment. Please note that no additional registrations are accepted without payment.

Contact Information - Attendee #1:
First Name:
Last Name:
Company:
Job Title:
Mailing Address:

City:
State:
Zip Code:
Telephone:
Fax:
E-mail:

Contact Information - Attendee #2:
First Name:
Last Name:
Company:
Job Title:
Mailing Address:

City:
State:
Zip Code:
Telephone:
Fax:
E-mail:

How did you hear about this event?
	Website	Chapter Member
	Newsletter	E-mail
	Colleague	Other
	ATA Staff

Registration Fee:
	FREE for two people from your company If you are sending 2 people from your company, both attendees must be listed on this form.

Event Cancellation Policy: Cancellations to events must be made in writing and received no later than two weeks in advance of the event date to receive a full refund. Those cancellations received after that point are non-refundable.

American Teleservices Association
3815 River Crossing Parkway, Suite 20
Indianapolis, IN 46240
317.816.9336 ● www.ataconnect.org