SIGMA 2017 Executive Leadership Conference
SIGMA 2017 Executive Leadership Conference January 22–25 • Vail Marriott Mountain Resort • Vail, Colorado Register online at www.sigma.org
Instructions: Please complete this form, using a separate form for each registrant from the company and return it to: SIGMA • 3930 Pender Drive, Suite 340 • Fairfax, VA 22030 | Fax: 703-709-7007 • Email: [email protected] BA DG E INFOR MATION Full Name: Title: Nickname (for badge): Company: Short Company Name: (for badge, 15 characters max.): Address:
If you require special services, please call SIGMA at 703-709-7000
City:
State:
Phone:
Email:
Zip:
C A N C E L L A T ION POLICY
A T T ENDING SP OUSE/ GUEST BADGE INFOR MATION
All cancellations requests must be made in writing to [email protected]. Requests received before September 30, 2016 will receive a full refund. Requests received before December 1, 2016 will receive a 50% refund. Refunds will not be issued after December 1, 2016.
Full Name: Nickname (for badge): Spouse/Guest Email: Address: City:
State:
Zip:
Phone:
R E G I ST R AT ION FEES Regular Rates (Until November 18)
Late/Onsite Rates (After November 18)
SIGMA Member Registration Rate
$650
$800
$
Additional Marketer from Same Company
$600
$750
$
Amount Due
Non-Member Rate
$1,750
$
Non-Fuel Supplier Rate
$1,750
$
SIGMA Strategic, Gold, or Silver Partner Rate
$1,000
Spouse/Guest Fee
$250
$300
$
Family Rate* (Spouse/Guest and children under 21)
$300
$350
$
$1,000
Exhibitor Booth (10 limited slots)
$
G R O U P A CT IVIT IES Top of the Rockies Snowmobile Tour Monday, January 23 • 12:30 PM – 5:30 PM
Driver/$295
Dogsledding Tuesday, January 24 • 12:15 PM – 4:15 PM
$210 per person ×
Special Dinner Event at The 10th Tuesday, January 24 • 6:00 PM – 9:00 PM
Passenger/$70 (2 max.)
Driver/$310
Passenger/$85
$225 per person ×
$110 ×
(2 max.)
$125 ×
$ $ $
Total Amount Due:
$
P A Y M E N T INFORM A T ION Check Enclosed
Credit Card:
Credit Card Number:
Expiration Date:
Name on Card:
Signature:
Visa
MasterCard
American Express
B O O ST E R SIG NA T URE I understand that $10 of my meeting registration fee, which cannot be deducted from the total, covers my dues as a SIGMA Booster. Signature:
2017 ELC-Vail Promo Mailer (8pg).indd 5
Date:
10/4/16 3:53 PM
Instructions: Please complete this form, using a separate form for each registrant from the company and return it to: SIGMA • 3930 Pender Drive, Suite 340 • Fairfax, VA 22030 | Fax: 703-709-7007 • Email: [email protected] BA DG E INFOR MATION Full Name: Title: Nickname (for badge): Company: Short Company Name: (for badge, 15 characters max.): Address:
If you require special services, please call SIGMA at 703-709-7000
City:
State:
Phone:
Email:
Zip:
C A N C E L L A T ION POLICY
A T T ENDING SP OUSE/ GUEST BADGE INFOR MATION
All cancellations requests must be made in writing to [email protected]. Requests received before September 30, 2016 will receive a full refund. Requests received before December 1, 2016 will receive a 50% refund. Refunds will not be issued after December 1, 2016.
Full Name: Nickname (for badge): Spouse/Guest Email: Address: City:
State:
Zip:
Phone:
R E G I ST R AT ION FEES Regular Rates (Until November 18)
Late/Onsite Rates (After November 18)
SIGMA Member Registration Rate
$650
$800
$
Additional Marketer from Same Company
$600
$750
$
Amount Due
Non-Member Rate
$1,750
$
Non-Fuel Supplier Rate
$1,750
$
SIGMA Strategic, Gold, or Silver Partner Rate
$1,000
Spouse/Guest Fee
$250
$300
$
Family Rate* (Spouse/Guest and children under 21)
$300
$350
$
$1,000
Exhibitor Booth (10 limited slots)
$
G R O U P A CT IVIT IES Top of the Rockies Snowmobile Tour Monday, January 23 • 12:30 PM – 5:30 PM
Driver/$295
Dogsledding Tuesday, January 24 • 12:15 PM – 4:15 PM
$210 per person ×
Special Dinner Event at The 10th Tuesday, January 24 • 6:00 PM – 9:00 PM
Passenger/$70 (2 max.)
Driver/$310
Passenger/$85
$225 per person ×
$110 ×
(2 max.)
$125 ×
$ $ $
Total Amount Due:
$
P A Y M E N T INFORM A T ION Check Enclosed
Credit Card:
Credit Card Number:
Expiration Date:
Name on Card:
Signature:
Visa
MasterCard
American Express
B O O ST E R SIG NA T URE I understand that $10 of my meeting registration fee, which cannot be deducted from the total, covers my dues as a SIGMA Booster. Signature:
2017 ELC-Vail Promo Mailer (8pg).indd 5
Date:
10/4/16 3:53 PM
