AFCEA DC Beyond SOA Conference Registration Form

Online Registration Form

2010 Conference: Beyond SOA & Cloud

(Please use one form per registrant; tab through the form to move
from field to field, as hitting the enter key will submit the data)

AFCEA Member Status?	Member of AFCEA NonMember
Membership Number
Prefix/Rank
First Name
Last Name
Title/Position
Company/Service/Org
Email
Tel
Fax
Address Street
Address City
Address State
Address Zip
Special Needs

Early Registration Rate	Industry AFCEA Member- $270 Industry NON-Member - $305 Government Event Registration Only - $60 Government Event Registration + 1 Year AFCEA Membership - $95 Government NCOs and below, and GS-8 and Below, Member & NonMembers - No Charge

Please tell us about you and your company.	Organization Other Your Occupation or Area of Expertise Other Your Company/Org's Area of Specialty Other

COMMENTS How did you hear about the AFCEA DC's Beyond SOA & Cloud Conference?
PAYMENT
Coupon Code	Every registrant gets $25 off with the coupon code that was in the email, flier, or advertisement you received about this event. If you do not have a coupon code, email events@afceadc.org and we will give you one.

Payment Method

All Check Payments Should Be Made out to "AFCEA DC" and Mailed To: AFCEA DC 1220 L St. NW, Suite 100-407 Washington, DC 20005-4018 tel: 202-701-5808 Cancellation Policy: Cancel on or before Jan 15 = full refund; Cancel Jan 15 - Feb 6 = $50 nonrefundable administrative fee; No Cancellations or Refunds after Feb 6. Form created by: Capital Leadership Group Where the Public, Private, and Civic Sectors Converge. Copyright © 2005 [Capital Leadership Group] All rights reserved.