SIGMA 2019 Executive Leadership Conference |February 3-5, 2019 |Westin Snowmass Resort Snowmass, CO Badge Information
Register Online At www.sigma.org Instructions
Full Name: Title: 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:
Requests received before October 31, 2018 will receive a full refund.
Nickname (for badge): Spouse Email:
Requests received before January 4, 2019 will receive a 50% refund.
Address:
Refunds will not be issued after January 4, 2019
City: Phone:
Registration Fees Early Bird Rates Until September 16
Regular Rates Sept. 17- January 4
Late/Onsite Rates After January 4
SIGMA Member Rate BEST RATE!
$750
$850
$1000
Additional Member from Same Company
$600
$750
$900
Non-Member/Non-Fuel Supplier Rate
$1750
SIGMA Strategic, Gold, or Silver Partner Rate
$1000
Spouse/Guest Fee
$350
Family Rate* Spouse/Guest and children under 21 Special Dinner Event Per Person
$400
$450
$500 $130 x _______
Exhibitor Booth (Limited Slots – 10)
$140 x ______
$150 x______
$2000 Total Amount Due
Payment Information □ Check Enclosed
□ Credit Card (Visa, MasterCard, American Express)
Card #:
Expiration Date:
Booster Signature:
Date:
I understand that $10 of my meeting registration fee, which cannot be deducted from the total, covers my dues as a SIGMA Booster.
Amount Due