Instructions Nickname (for badge): Fill out this form ... AWS
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 September 30, 2017 will receive a full refund.
Spouse Email:
Requests received before December 1, 2017 will receive a 50% refund.
Address:
Refunds will not be issued after December 1, 2017
City: Phone:
Registration Fees Regular Rates Until November 17
Late/Onsite Rates After November 17
SIGMA Member Rate BEST RATE!
$750
$900
Additional Marketer from Same Company
$650
$800
Non-Member/Non-Fuel Supplier Rate
$1750
SIGMA Strategic, Gold, or Silver Partner Rate
$1000
Spouse/Guest Fee
$350
$400
Family Rate* Spouse/Guest and children under 21
$450
$500
$135 x ______
$150 x______
Special Dinner Event Per Person Exhibitor Booth (Limited Slots – 10)
Amount Due
$2000 Gold Partner | $5000 Silver Partner 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.
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 September 30, 2017 will receive a full refund.
Spouse Email:
Requests received before December 1, 2017 will receive a 50% refund.
Address:
Refunds will not be issued after December 1, 2017
City: Phone:
Registration Fees Regular Rates Until November 17
Late/Onsite Rates After November 17
SIGMA Member Rate BEST RATE!
$750
$900
Additional Marketer from Same Company
$650
$800
Non-Member/Non-Fuel Supplier Rate
$1750
SIGMA Strategic, Gold, or Silver Partner Rate
$1000
Spouse/Guest Fee
$350
$400
Family Rate* Spouse/Guest and children under 21
$450
$500
$135 x ______
$150 x______
Special Dinner Event Per Person Exhibitor Booth (Limited Slots – 10)
Amount Due
$2000 Gold Partner | $5000 Silver Partner 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.
