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Delegate Registration Form

Supplier and
Business Partner
Delegate Registrations:

I am a Supplier/Business Partner Delegate US $500 per person (discounts do not apply for these registrations)


You will be contacted about payment options once your registration is received.

Abilita
Delegate Registrations:

I am a Delegate US $900
I am a Subsequent Delegate from my office or licence group - apply the US $225 discount.
I am a Spouse US $100 (social activities only, no discounts apply)

A 5% discount on the US $900 fee will be applied when 75% of your registration fee or your registration form is received before September 15, 2010. This discount does not apply on subsequent delegate registrations.

Discounts apply only for Abilita delegates who have reservations at the Omni.

Your total fee will be confirmed by email based on the above selections.

First Name:

Last Name:
Confirmation Email Address:
(if you don't receive a confirmation email,
your registration was not received at Abilita)
Badge Name:

Special Dietary Requirements:
(i.e. vegetarian)

Apparrel Size:
(Abilita Delegates only)
Please indicate your golf shirt size.

Ladies -

Mens -

Arrival Date:
Departure Date:
I am staying at The OMNI Tucson National Golf Resort and Spa

Yes

No
I am sharing a room with:
(provide name)
Golf:
Please indicate whether you will play golf on October 20, 2010.
The cost of golf is not included in the registration fee.



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