Badge Information Full Name: Title: Instructions Nickname (for badge ...

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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