This document is a registration form for the 2009 International Conference & Business Expo hosted by eWomenNetwork from August 6-9, 2009 in Dallas, Texas. It outlines two registration packages - a basic package for $1,050 or $850 for members, and a VIP package for $2,200 or $2,000 for members. The VIP package includes additional benefits like hotel accommodation, special seating and events, and transportation. Attendees are asked to provide contact information and payment details to complete their registration. All payments are nonrefundable but transfers are allowed for a $100 fee.

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.