SIGMA 2018 Executive Leadership Conference
SIGMA 2018 Executive Leadership Conference
January 17–19, 2018 • Sun Valley, ID
Register Online at www.sigma.org If you require special services, please call SIGMA at 703-709-7000
Please complete 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] BA DGE I NF ORMATION Full Name: Title: Nickname (for badge): Company: Short Company Name: (for badge, 15 characters max.): Address:
CANCELL AT I O N P O L I C Y All cancellations requests must be made in writing to [email protected]. Requests received before December 1, 2017 will receive a full refund. Requests received before January 1, 2018 will receive a 50% refund. Refunds will not be issued after January 1, 2018.
City:
State:
Phone:
Email:
Zip:
AT T E NDI NG S P O U SE/GU EST BAD G E IN FO R MATIO N Full Name: Nickname (for badge): Spouse/Guest Email: Address: City:
State:
Zip:
Phone:
R EG ISTR AT I O N F E E S Regular Rates Until Nov. 17
Late/Onsite Rates After Nov. 17
SIGMA Member Registration Rate
$750
$900
$
Additional Marketer from Same Company
$650
$800
$
Non-Member/Non-Fuel Supplier Rate
$1,750
SIGMA Strategic, Gold, or Silver Partner Rate
$1,000
Amount Due
$ $
Spouse/Guest Fee
$350
$400
$
Family Rate* (Spouse/Guest and children under 21)
$450
$500
$
Exhibitor Booth (Limited Slots – 10)
$2,000 Gold Partner |
$5,000 Silver Partner
$
$150 ×
$
G R O UP A C T I V I T I E S Special Dinner Event Per Person Snowmobiling: Thursday, January 18 • 12:00 PM - 4:00 PM
$135 × Single/$320
Scenic Sleigh Ride: Friday, January 19 • 1:30 PM - 2:30 PM
Double/$399
$ $
$55 per person × Total Amount Due:
$
PAYM ENT I N F O R M AT I O N Check Enclosed
Credit Card:
Credit Card Number:
Expiration Date:
Name on Card:
Signature:
Visa
MasterCard
B O O STER S I G N AT U R E 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:
American Express
January 17–19, 2018 • Sun Valley, ID
Register Online at www.sigma.org If you require special services, please call SIGMA at 703-709-7000
Please complete 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] BA DGE I NF ORMATION Full Name: Title: Nickname (for badge): Company: Short Company Name: (for badge, 15 characters max.): Address:
CANCELL AT I O N P O L I C Y All cancellations requests must be made in writing to [email protected]. Requests received before December 1, 2017 will receive a full refund. Requests received before January 1, 2018 will receive a 50% refund. Refunds will not be issued after January 1, 2018.
City:
State:
Phone:
Email:
Zip:
AT T E NDI NG S P O U SE/GU EST BAD G E IN FO R MATIO N Full Name: Nickname (for badge): Spouse/Guest Email: Address: City:
State:
Zip:
Phone:
R EG ISTR AT I O N F E E S Regular Rates Until Nov. 17
Late/Onsite Rates After Nov. 17
SIGMA Member Registration Rate
$750
$900
$
Additional Marketer from Same Company
$650
$800
$
Non-Member/Non-Fuel Supplier Rate
$1,750
SIGMA Strategic, Gold, or Silver Partner Rate
$1,000
Amount Due
$ $
Spouse/Guest Fee
$350
$400
$
Family Rate* (Spouse/Guest and children under 21)
$450
$500
$
Exhibitor Booth (Limited Slots – 10)
$2,000 Gold Partner |
$5,000 Silver Partner
$
$150 ×
$
G R O UP A C T I V I T I E S Special Dinner Event Per Person Snowmobiling: Thursday, January 18 • 12:00 PM - 4:00 PM
$135 × Single/$320
Scenic Sleigh Ride: Friday, January 19 • 1:30 PM - 2:30 PM
Double/$399
$ $
$55 per person × Total Amount Due:
$
PAYM ENT I N F O R M AT I O N Check Enclosed
Credit Card:
Credit Card Number:
Expiration Date:
Name on Card:
Signature:
Visa
MasterCard
B O O STER S I G N AT U R E 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:
American Express
