Regir

If you have any problems submitting this form, call

770-926-7573. You may also print out this form and

fax it to 770-926-5932

 

 

 

 

 

Please list names and titles as you would like for them to appear on badge(s)

Name Title

Name Title

Name Title

Name Title

Name Title

Name Title

Name Title

Name Title

Name Title

Name Title

Station Format

Daytime Phone Fax

Email

Mailing Address City State

Country Postal /Zip Code

Payment Type Card Holder

Credit Card Number Expiration Date

Payment Amount Registration rates increase by $75 after July 5, 2004.

Due to the exclusive nature of the conference, registration is non-refundable. However, credit will be given towards registration for the next scheduled MSBC, or for recordings of available programs if notice is given more than 30 days prior to conference.

 

Comments/Questions/Suggestions:

 

How did you hear about Morning Show Boot Camp? (please choose all that apply)

Fax

Morning Mouth Magazine

Co-Worker/Friend

Other, Please describe.

 

 

Confirmation will be mailed within 7-10 days.

Please make checks payable to Morning Show Boot Camp and mail to:

8654 Main Street Rear, Woodstock, GA 30188.

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