Attendee Signup

AFCEA Attendee Registration Form

Note: Each attendee must submit individually
Please include the correct mailing address for ALL attendees.

Fields marked with an * are mandatory

First Name

Last Name

Position

Company

Address

City

State/Prov.

PostalCode

Country

Phone

Fax

Email

I will attend the Monday Night Icebreaker (10/06/08) No Charge: (check one): Yes No

I will attend the Tuesday Night Reception (10/07/08) No Charge: (check one): Yes No

I will attend the Keynote Dinner (10/08/08) at the cost of $30

NOTE: We will be mailing your ticket to the Keynote Dinner prior to the event. Please select one: Please do not mail my ticket, I will pick this up onsite. Yes, please mail my ticket to the above address. Yes, please mail my ticket, but to the following alternate address.

Name:
Address:
City:
State:
Postal code:

I would like to participate in the *Golf Tournament* (Tuesday) $50 pp

Note: If you sign up for the golf, you must include the following information: Handicap/Index Average Score
I will require an additional luncheon ticket for the Golf Luncheon: Extra tickets are $11

Signup for a Sponsorship or Advertise in the Exhibitor Program

Click here for more info on Sponsorships

Five Star Sponsor	$5,000
Three Star Sponsor	$2,500
Two Star Sponsor	$1,500
Scholarship	$2,000

Click here for more information on Golf Cart Logos
Golf Cart Logo (1 logo per cart)	Number of Golf Cart Logo's @ $100 each

Click here for more information on Keynote Corporate Tables
Keynote Corporate Table	Number of Keynote Tables @ $350

Click here for more information on Greens & Tees
Green & Tees	Number of Sponsorships @ $100 each.

Advertise in the Exhibitor Program

To view your registration and proceed to check out, please click on the button...