Registration Form

Name:

Company:

Address:

City: , State: Zip:

Phone: Email:

I would like to register for:

Chicago $225 Boston $225 Seattle $225

July 28, 2006 Aug. 18, 2006 Sept. 22, 2006

Early Reg. Deadline June 28th Early Reg. Deadline July 18th Early Reg. Deadline Aug. 22nd

Los Angeles $225 Richmond $225

Aug. 25, 2006 Oct. 13, 2006 Total Due ___________

Early Reg. Deadline July 25th Early Reg. Deadline Sept. 13th

Registration includes: Breakfast, Lunch, and a Full Day of Seminars $195 (reg. $225)

Early Registration Fee ends 30 days prior to seminar date and offers a $30 discount. Your registration must be postmarked or submitted electronically by deadline to qualify for the discount.

You can either and pay by credit card

OR print this document and mail it along with your check.

Make Check Payable to:
Bench Media

106 S Pinepoint Dr

Spartanburg, SC 29302

Refund Policy

Full Refund given if Registration is canceled 30 days prior to seminar. One Half refund given if Registration is canceled 15 days prior to seminar and no Refund given if canceled after that. Registration Fees ARE transferable.

For Hotel Room Reservations Call the Hotel Directly
and tell them you are attending the Bench Jewelers Seminars.