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Fri, 03 Sep 2010, 2:33 AM PDT
TriCounty Cold Fusion User Group
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If you can please activate support for JScript or Javascript. Then come back to this page from the original link you used. We apologize for any inconvenience.
Thank you.
PLEASE PROVIDE US THE REQUESTED INFORMATION BELOW.
(*) means we need an answer from you.
*
Please choose the meeting date you wish to attend:
Select an answer below
March 10, Holiday Inn, 111 Bay Street, 7:30 pm.
April 7, Ramada, 345 City Ave., 7:30 pm.
May 9, Holiday Inn, 111 Bay Street, TriCity. 7:30 pm.
June 6, Ramada, 345 City Ave., 7:30 pm.
July 11, Holiday Inn, 111 Bay Street, TriCity. 7:30 pm.
Sept. 11, Ramada Inn, 345 City Ave., 7:30 pm.
This is what you are purchasing:
Registration for Monthly Cold Fusion User Group Meeting
CLICK HERE if you want to register more than one person.
You may register others in addition to yourself
by entering the total quantity you need for your group below; you will first pay for ALL your group at once, and then you can enter each person's name on another form, or come back later and add them.
The Price is:
10.00
Enter the Number of Registrations you want to purchase
Total is:
Click
to update total
Payment Options are
: Credit Card (Visa, MasterCard, American Express); Fax Or Mail Credit Card Info; Check
CLICK HERE if would like full details on the payment options.
Payment Options:
fill in the INFORMATION FORM below, then »
For
Secure Credit Card Payment Now
press the
Credit Card Online
button at the bottom of this page. Receipts will be provided for your records. This is
our preference
.
OR
For payment by
faxing
or
mailing
your
credit card
information to us, or by
mailing
a
check
to us, press the appropriate payment button at the bottom of this page. After your registration is completed you will get a confirmation with our address and phone/fax information on it together with space to handwrite your credit card information, if appropriate.
OR
You can call (916)555-1212. You can then have your transaction processed by traditional alternatives.
Our Refund Policy and Other Terms:
We cannot provide any refunds for this registration.
Registrant Information Form
(*) required
Enter the Primary Registrant information if registering more than one person
Mr, Ms, Mrs ...
*
How do we address you?
Mr
Ms
Mrs
Dr
First Name
*
Mid Initial
Last Name
*
Title
Organization
Address
*
Address
City
*
State/Prov.
*
Zip/Postal Code
Country
Telephone
*
Fax
Why do we need your email?
Providing your email address enables us to send you email acknowledgements. If you are paying now with your credit card, providing your email address also allows us to send you an email receipt from the credit card company to confirm the transaction.
e-mail
READ AND FILL-IN ONLY IF YOU INTEND TO PAY BY CREDIT CARD
The contact information you provided above may differ from that on file with the credit card company. Please enter
below
the contact information that appears on a credit card bill to ensure proper authorization of the card.
Check
this box to automatically insert the above contact information below. You may edit the inserted information if changes are required.
First Name
Last Name
Organization
Billing Address
City
State/Prov.
Zip/Postal Code
Country
PLEASE PROVIDE US THE REQUESTED INFORMATION BELOW.
(*) means we need an answer from you.
*
Please tell us how you heard about the Program
Select an answer below
Flyer in Mail
Ad in Business Journal
Ad in Bee
Article in Business Journal
Article in Bee
Radio Ad
Friend or Colleague
e-mail note
Attended before
*
Please tell us your work capacity
Select an answer below
Software Engineer
Programmer
Manager
'Hacker'
*
Please tell us the kind of environment you work in
Select an answer below
Company
ISP
Independent
Consulting Company
*
What is your level of proficiency in Cold Fusion?
Select an answer below
Expert
Intermediate
Beginner
Submitting this form
does not
commit you to a credit card charge. You have not entered your number yet! After you have submitted this form, you will receive an (almost) immediate verification of the information you entered. Then, if you chose credit card payment, you will see your elected option.
Click the button for your preferred payment method below.
Total
(Click
to re-total)
Amplify Software Online Event Registration is a transaction service of Amplify LLC. Copyright © Amplify LLC 1999-2010. All rights reserved.
web site
; Ph: 916-933-7700;
email