HOTEL RESERVATIONS: Drury Plaza Hotel CALL: 800.325.0720 NO LATER THAN September 3, 2010 HAVE A QUESTION? CALL: Mary Zinkl Advanced Software Designs INSTRUCTIONS: Fill-in the requested information. Either fax the completed form 636.532.6021 to Mary Zinkl @ 636.532.2935 or email it to email@example.com. The form and payment must be received NO LATER THAN September 1, 2010. FAX COMPLETED REGISTRATION INFORMATION REGISTRATION FORM: 636.532.2935 Name (first, last – as it will appear on your ID badge): Gender: Male Female Business Title: PAYMENT OF FEES: Mail a check with a copy of Company: your registration info to: Advanced Software Designs Address: 1350 Elbridge Payne Road, Suite 150 Chesterfield, MO 63017 City: State: Zip Code/Postal Code: USA Make your Check payable to: Country: Industry: Advanced Software Designs Paid registrations will receive Phone Number (include area code and country code): electronic confirmation. Contact Mary, Advanced Fax Number (include area code and country code): Software Designs for verbal confirmation. Email Address: Credit cards are NOT accepted. List Special Dietary Needs (if any): CANCELLATION & CONFERENCE FEES SUBSTITUTION: Payment received BY September 1, 2010: $899 USD per attendee. Request for cancellation or substitution must be made via Payment received AFTER September 1, 2010: $1,099 USD per attendee. mail, fax or email to: Amount Enclosed: $ USD Mail request: ASD, PO Box 647, Chesterfield, MO 63006 HOTEL ACCOMMODATIONS Fax request: 636.532.2935 Call BEFORE September 3, 2010 Email request: firstname.lastname@example.org Hotel Rooms and Rate availability cannot be guaranteed after September 3, 2010. To receive the special group rate of $105.00 USD per night, go online to Cancellation must be received www.druryhotels.com, click on Book It Fast, then enter our Group #2087858. no later than September 10, Or call Drury Plaza Hotel/Group Reservations at 800.325.0720. Be sure to 2010. Refund - less $200 specify the hotel in Chesterfield, Missouri and our Group Name: Advanced administrative fee - will be mailed AFTER the conclusion Software Designs/Envision 2010. of the conference. REGISTRATION DEADLINE IS SEPTEMBER 15, 2010 NO refund will be issued after September 10, 2010. Get ENVISION 2010 information online at www.asdsoftware.com!
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