Instructions Nickname (for badge): Fill out this form, using a separate ...
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:
Requests received before January 15, 2018 will receive a full refund.
Nickname (for badge): Spouse Email:
Requests received before March 1, 2018 will receive a 50% refund.
Address:
Refunds will not be issued after March 1, 2018
City: Phone:
Registration Fees
SIGMA Member Rate BEST RATE!
Here & Now Rates Until June 1
Early Bird Rates Until January 15
Regular Rates Until March 1
Late/Onsite Rates After March 1
$700
$800
$950
$1100
$450
$500
Non-Member/Non Fuel Supplier Rate
$3,000
SIGMA Strategic, Gold, or Silver Partner Rate
$1000
Spouse/Guest Fee
$300
$400
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
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 January 15, 2018 will receive a full refund.
Nickname (for badge): Spouse Email:
Requests received before March 1, 2018 will receive a 50% refund.
Address:
Refunds will not be issued after March 1, 2018
City: Phone:
Registration Fees
SIGMA Member Rate BEST RATE!
Here & Now Rates Until June 1
Early Bird Rates Until January 15
Regular Rates Until March 1
Late/Onsite Rates After March 1
$700
$800
$950
$1100
$450
$500
Non-Member/Non Fuel Supplier Rate
$3,000
SIGMA Strategic, Gold, or Silver Partner Rate
$1000
Spouse/Guest Fee
$300
$400
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
