Attendee Registration Form

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Shared by: KevinCrouthers
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2009 ICFA Annual Conference & Expo September 28 – 30, 2009 Hilton Orlando Orlando, Florida Attendee Registration Form One Registration Form per Attendee Your Name: Company Name: Category: Mailing Address: State/ Province Fax: Website Zip/Postal Code ICF System Supplier Distributor Contractor/Builder Other: Title City: Phone: E-Mail: CONFERENCE FEE - Includes Admission to EXPO, Educational Sessions, Meeting Events. EARLY DISCOUNT Save 20% when payment is received by 8/15/2009 ICFA Member Fee Non-Member Fee ADDITIONAL PROGRAM FEES NAHB – Building with ICFs Building Science for ICFs $280.00 $390.00 REGISTRATION received on or after 8/16/2009 $350.00 $490.00 AMOUNT ENCLOSED $180.00 $180.00 $225.00 $225.00 TOTAL NO ONE WILL BE ADMITTED TO THE CONFERENCE/EXPO WITHOUT PAYMENT IN FULL Make Checks & Money Orders in $US Payable to Insulating Concrete Form Association or charge to: Check or Money Order American Express MasterCard Visa Name on Card: Credit Card Number: Expiration Date: Signature: E-mail, mail or fax registration with payment to: Insulating Concrete Form Association 1730 Dewes Street, Suite #2 Glenview, IL 60025 Fax: 847-657-9728 Toll-Free: 888-864-4232 Website: www.forms.org Email: info@forms.org Confirmation / Cancellation Policy: Hotel Reservations The Hilton Orlando has discounted rates of $159 + tax until September 4 or until the block is full. Reserve directly with the hotel 888-488-3509 and ask for the ICFA group block or visit: http://www.hilton.com/en/hi/groups/personalized/ORLOCHHINS-20090923/index.jhtml to reserve online. . Confirmation will be e-mailed or faxed upon receipt of registration form and payment. Cancellations, if received in writing PRIOR TO September 14, 2009 will be refunded, less a $100.00 administrative fee. There will be no refunds for cancellations after September 14th or for no-shows. Cancellation request should be faxed to 847-657-9728 or mailed to the ICFA address.

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