SIGMA 2019 Executive Leadership Conference

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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