Section I: Application

Advanced registration runs through May 21. Print this form, fill it out, and return it to AFEI or register online by clicking on the REGISTER button at the bottom of your screen..

Name:

_________________________________________________

Title:

_________________________________________________

Company:

_________________________________________________

(Booth Number if applicable): __________________________

Street Address:

_________________________________________________

City, State, ZIP:

_________________________________________________

Phone: ____________________ Fax: ___________________

E-Mail: ___________________________________________

 

Section II: Registration Fees

Todays Date _________________

  Advance
(Until May 21)
On-Site
AFEI Members  $425  $525 
Non-Member/Industry*** $525 $625
Government & Student  $125  $150 
One Day Fee  $150 $175 
Exhibitor (fee included in booth rental) $ 0   $ 0 
Additional Exhibitors (not attending sessions)  $125  $125

YES! I want to become a member of AFEI! *** Click here to go find out more about membership!

 

 

Section III: Payment Agreement

Check enclosed made payable to
9AF3 Association For Enterprise Integration
2111 Wilson Boulevard Suite 400
Arlington VA 22201-3061

Bill my

Master Card VisaDiners Club American Express Carte Blanche

Credit Card# ___________________________________________________

Expiration Date _________________________________________________

Total Payment $_________________________________________________


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