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eWomenNetwork 2009 Conference Registration

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                                                                                                                                                  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.

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eWomenNetwork 2009 Conference Registration

  • 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.