Copier Dealership Association Sales Meeting Chicago
08/20/09 8:00 am - 08/20/09 8:00 pm


Company Name

Company Name:   

Company Address:   City:   State:   Zip Code:   

Contact:   Phone:   E-mail:   

Participant Information - fill out your name as it appears on your passport or drivers license.

First Name:   Last Name:   

Guest Information - fill out your name as it appears on your passport or drivers license.

Guest First:   Guest Last:   Guest Middle:   

Additional_Friends_Family, please include ages:
  

Comments:
  

Hotel

Smoking preference: Smoking Non-Smoking   


 
Dates Requested; (the arrival date will be the check in date; the check out date will be the date you are departing from the hotel)
Arrival date:   Departure date:   

Hotel room choice: King Bed Two Double Beds   

Hotel Comments:
  

CDA Group Function & Attendance Information


 
Please check one of the following catagories that best describes your involvment with this CDA event.


Member  

Speaker  

Sponsor  


 
The dues for the 2009 CDA Sales Meeting in Chicago are $175.00pp additional guest and spouses are an additional $75.00pp. Please fill out the names of everyone attending in the fields below and ONLY check the cocktail reception or meeting options if you are attending. If you are not physically attending one of these functions please leave the box blank.


1st Attendee Name :    Attending the Cocktail Reception   Attending the Meeting  

2nd Attendee Name:    Attending the Cocktail Reception   Attending the Meeting  

3rd Attendee Name:    Attending the Cocktail Reception   Attending the Meeting  

4th Attendee Name:    Attending the Cocktail Reception   Attending the Meeting  

Credit Card information


 
Please fill out the following information:


Name on Credit Card:   

Street Address Credit Card is Billed to:   City:   State:   Zip Code:   

Credit Card Number:   

Security Code:   

Expiration date:   


 
This transaction is protected by Secure Sockets Layer: cryptographic protocols which provide secure communications on the Internet


Notes

Additional Comments:
  


 
Additional questions? Please call me anytime at 303-886-2989. Thank you, Mike Buchl


Travel Information


 
If you would like MHMI to handle your flight arrangements we would be more than happy to! Please call Michelle directly at (303) 332.9908. There will be a $25.00 service charge per ticket compared to the average fee of $35.00 from traditional travel agencies. We will get you the best rates possible, I guarantee it!


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