School Response Conference 2011

Sales Contract
California
REGISTRATION CODE: SRC-AW

PLEASE REGISTER THE FOLLOWING & Fax to 1.425.968.7400

Your Registration Code is SRC-AW.
Delegates Detail Please use this when registering for the
Full Name _____________________________________________________________________
conference.
Job Title ______________________________________________________________________ Website: www.src.eve-ex.com/california
Name Preferred for Badge ________________________________________________________ Email : amanda.west@events-exhibitions.info
Email __________________________________ Fax ______________________
Phone: 1.425.996.7188
Tel Office ________________________ Mobile __________________________ Fax: 1.425.968.7400
Company _____________________________________________________________________ Post: PMB 2657
1420 NW Gilman Blvd, Suite # 2
Department ___________________________________________________________________
Issaquah, WA 98027
Nature of Business ______________________________________________________________
Website ______________________________________________________________________ Group Registration
We value group learning. Multiple registrations
Address ______________________________________________________________________
from the same company receive this discounts:
City, State _____________________________________________________________________
Zip Code _______________________ Country _______________________________________ ●● Register 4, Send 5th Free! (applicable to all
Delegate’s Signature ______________________________ Date ________________________ duration before event)
●● 10% discount for 6 or more
If the Invoice is to be addressed for the attention of a different person than the delegate, please
●● 15% discount for 8 or more
complete the details below:
Full Name ____________________________________________________________________ * Discounts 10% & 15% is exclusive of early
bird discounts.
Email ________________________________________________________________________

Registration Type
Early Bird Rate Standard Rate Until Cancellation, Postponement, and
Until March 31, 2011 May 20, 2011 Substitution Policy
1.) Student 250 usd 300 usd CANCELLATION AND SUBSTITUTION POLICY Provided the fee
has been paid in full, substitutions at no extra charge can be made up to
2.) Education/Academe/ 25 business days before the start of the conference. Cancellations must
350 usd 400 usd be received in writing or by fax to +425-.802.8801, more than 25 days
Government/NGO
before the conference is to be held in order to obtain a full credit for
any future conference. Cancellations received 25 days or less (includ-
3.) Private/Commercial 600 usd 700 usd ing the seventh day) prior to the conference will not be credited. In the
event that Events & Exhibitions cancels an event, payments received
Note: Registration Fee is inclusive of 1 day event registration, breakfast, lunch, & refreshment breaks. at the cancellation date will be credited towards attendance at a fu-
ture conference, or in the event of postponement by Events & Exhibi-
tions, a rescheduled date. Events & Exhibitions reserves the right to
Please debit my credit card: postpone or cancel an event, to change the location of an event or to
Visa Master Card AMEX Discover Security Code_______________ alter the advertised speakers for an event. Events & Exhibitions is not
responsible for any loss or damage as a result of substitution, altera-
Visa and MC cards have a 3 digit code on the signature panel on the back of the card, following tion, postponement, or cancellation of an event due to causes beyond
the account number. American Express cards have a 4 digit code on the front of the card, above its control including without limitation, acts of God, natural disasters,
the card number. sabotage, accident, trade or industrial disputes, terrorism, or hostilities.
Card Number (16-Digit) _________________________________________________________ SPEAKER CHANGES Occasionally it is necessary for rea-
sons beyond our control to alter the content and tim-
Expiry Date __________________________________________________________________
ing of the programme or the identity of the speakers.
Name Printed On Card __________________________________________________________ DATA PROTECTION Your details may be passed to other companies
Signature _____________________________________________________________________ who wish to communicate with you offers related to your business activi-
Billing Address ________________________________________________________________ ties. If you do not wish to receive these offers, please tick the box below.
Billing Zip Code_______ Or enclosed is a check for $_________ to cover __________persons.
Please do not pass my information to any third party
Check here if you have any dietary or accessibility needs. We will contact you for more
details. Please Note: If you have not received an acknowledgement confirming your booking, Payment Terms
please call us at 1.425.996.7188. Our EIN 27-0494399 Payment is due in full upon completion and return of the registration
This document when signed by the Delegate constitutes a binding legal agreement. The Delegate agrees that upon receiving this application and form. Due to limited conference space we advise early registration
sales contract by Events & Exhibitions, with or without appropriate payment, this application and sales contract shall become a legally binding and payment by credit card to avoid disappointment. Your registra-
contract, enforceable against the Delegate in accordance with its terms. By the above signature, the individual signing this document represents tion will not be confirmed until payment is received. Admission to the
and warrants that he/she is duly authorized to execute this binding contract on behalf of the Delegate. The Delegate agrees to be bound by the
information and terms on this page herein. Fax copy is accepted and has the same power as an original copy. conference will be refused if payment has not been received.