November In Dallas Conference 2008 Registration

November In Dallas 2009 Registration
MAIL: JFK Lancer NID
401 N. Carroll Ave, #204
SOUTHLAKE, TX 76092

After submitting your registration payment, please bring your completed form to the conference.

Student (includes Banquet) $100	Adult (includes Banquet) $250	Author's Table/Speaker (includes Banquet) $50	Spouse (includes Banquet) $150	Additional Banquet $50	Bus Tour $50
Student Day Rate $50	Adult Friday $100	Adult Saturday, (includes Banquet) $150	Adult Sunday $50

Conference fee	Total Registrations	Totals
$250 Adult	Number of Adults for Conference* ______	Amount $_________

$100 Student	Students for Conference* ______	Amount $_________

$100 Spouse	Spouses for Conference* ______	Amount $_________

$100 Speaker	Author's Table/Speakers for Conference* ______	Amount $_________

$50	Additional Persons for Banquet ______	Amount $_________

$50	Bus Tour Only _______	Amount $_________
	*Includes Saturday Night Banquet
		Total: $_________

Name:_____________________________________________________________________________________

Mailing-Address______________________________________________________________________________

City:_____________________________ State/Province/Country:______________________ Zip ______________

Phone:___________________________ Fax:______________________________Email:____________________

CHARGE ORDERS CANNOT BE PROCESSED WITHOUT THE FOLLOWING:

Method of Payment:

Money Order____ Visa____ Mastercard____ Discover____

CREDITCARD-NUMBER________________________________________ EXPIRATION-DATE_______/______

NAME ON CARD (please print name)_____________________________________________________________

BILLING-ADDRESS:_________________________________________________________________________

_______________________________________________________________________________________

City:_____________________________ State/Province/Country:_____________________Zip:______________

SIGNATURE_______________________________________________________________________

** LIST ADDITIONAL NAMES HERE

NAME __________________________________________________________________________________

Cancellations for conference events must be made no later than 15 days prior to the event for a full refund. All Cancellations made after that
date will be no more than 50% of total paid. We reserve the right to refuse entry to any person or group, or remove and refund any fee paid by
any person or group displaying unprofessional behavior. Times are subject to change.
CONFERENCE RATES DO NOT INCLUDE HOTEL, MEALS OR FLIGHT FARES UNLESS SPECIFICALLY NOTED.