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
Station Format
Daytime Phone Fax
Email
Mailing Address City State
Country Postal /Zip Code
Payment Type Visa Master Card Check American Express Card Holder
Credit Card Number Expiration Date January February March April May June July August September October November December 2004 2005 2006 2007 2008
Payment Amount 1 Person - $429 2 People - $798 3 People - $1047 4 People - $1396 5 People - $1745 6 People - $2094 1 Cocktail/Luncheon Pass - $100 1 Day Pass - $279 Between Gigs? Call For Special Rate: 770-926-7573 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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