Registration Form PAGE

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Registration Form

Conference April 23 - 25th, 2004
We are no longer accepting signups for this event

 

    Company:    
    Phone:
    Address:
    City: ,    State:     Zip:
 
    Attendee Name:
    Email Address:
    Professional Jeweler: Full Time     Part Time     Hobbyist
 
    Full Conference & Expo - $350     Fri. Conference Only - $235   
Sat. & Sun. Conference & Expo - $150                         
Banquet Fri. - $75     Banquet Sat. - $75     Expo Only - FREE
 
    Attendee2 Name:
    Professional Jeweler: Full Time     Part Time     Hobbyist
 
    Full Conference & Expo - $350     Fri. Conference Only - $235   
Sat. & Sun. Conference & Expo - $150                         
Banquet Fri. - $75     Banquet Sat. - $75     Expo Only - FREE
You can either Sign Up and pay by credit card OR print this document and mail it along with your check.

Total Enclosed ______
 

Make Checks Payable to: Bench Media

 

Send Completed Form along with your check to:

Tabetha Jordan, Conference Director
13000 York Rd., Suite F-229
Charlotte, NC  28278

 

Refund Policy

Full Refund given if Registration is canceled before March 15, 2004.  One Half refund given if Registration is canceled before April 15, 2004.  No Refund given after April 15, 2004.  Registration Fees ARE transferable.

 

Conference Hotel

Sheraton Chicago Northwest Hotel & Conference Center
3400 West Euclid Ave.
Arlington Heights, IL  60005

1-888-627-8093

 

For Hotel Room Reservations Call the Hotel Directly at 1-888-627-8093
and tell them you are attending the Bench Jewelers Conference & Expo