Badge Information Full Name: Title: Instructions
Nickname (for badge):
Fill out this form, using a separate form for each registrant from the company and return form to: SIGMA 3930 Pender Drive Suite 340 Fairfax, VA 22030 Fax: 703-709-7007 Email:
[email protected] Company: Short Company Name: (for badge, maximum 15 characters) Address: City:
State
Zip
State
Zip
Phone: Email:
Cancellation Policy
Attending Spouse/Guest Badge Information
All cancellations requests must be made in writing to
[email protected] Full Name: Nickname (for badge):
Requests received before July 31, 2017 will receive a full refund.
Spouse Email:
Requests received between July 31, 2017 and September 15, 2017 will receive a 50% refund.
Address:
Refunds will not be issued after September 15, 2017
City: Phone:
Registration Fees
SIGMA Member Rate BEST RATE!
Here & Now Rates Until December 1
Early Bird Rates Until July 28
Regular Rates Until September 15
Late/Onsite Rates After September 15
$700
$850
$950
$1,100
$400
$500
Non-Member Rate
$3,000
SIGMA Strategic, Gold, or Silver Partner Rate
$1,000
Spouse/Guest Fee
$300
$350
Total Amount Due Payment Information □ Check Enclosed
□ Credit Card (Visa, MasterCard or American Express only) Card #: Expiration Date: Signature:
Booster Signature: I understand that $10 of my meeting registration fee, which cannot be deducted from the total, covers my dues as a SIGMA Booster. Signature:
Date:
Amount Due