1. 080622KS
August 6-9
9th
2009
Annual
Hilton Anatole
International Dallas, Texas
Conference &
Business Expo PLEASE PRINT CLEARLY!
All amounts are in US Dollars Today's Date:
Package # 1: I’m booked!
Managing Director/Chapter City:
$1,050.00 Attendee’s First Name:
$850.00 (eWomenNetwork Member) Attendee’s Last Name:
This price includes:
Attendee’s eWN Member Sign-in Name:
• One full registration Non-Member
• Nine food functions Company Name (as it is to appear on your name tag):
Package # 2: The VIP Experience!
$2,200.00 Title:
$2,000.00 (eWomenNetwork Member) Role: Owner Employee Executive Other:
This price includes: Address:
• One full registration
• Three nights Hotel accommodation, Hilton Anatole
• Opening Night Gala VIP Seating City:
• One ticket to an Evening of Chocolate
Decadence & Extreme Dance Party State/Province: Postal code/Zip:
• One ticket to the Nordstrom VIP Makeover event
Business phone: Extension:
• Airport to hotel round-trip ground transportation
• Private VIP dinner hosted by Kym & Sandra Yancey Cell phone: Evening phone:
• Nine food functions
Email:
Fax this form to 972-720-9995.
Electronic Check ( U.S. bank only): Business Checking Checking Savings
Sponsored by:
Bank Name as it appears on your checks:
Routing Number (9 digits):
Account Number
Authorization Signature Date:
Credit Card Information: Visa MasterCard American Express Discover
Card Number: Expiration Date:
For Office Use Only:
Name as it appears on the card:
Billing address of credit card: (If same as above, write in quot;Same.quot;)
Authorization Signature Date:
Because of catering and space limitations all
payments are nonrefundable. Transfers are
Please contact me about: Purchasing an ad in the
permitted with a $100 transfer fee. Being an exhibitor at the
2009 Conference.
2009 Conference Program Guide.