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AAF Association Developers Conference Fax Registration Form |
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* Required Fields A Note About Credit Card Payment - This is NOT a secure site. If you wish to pay by MasterCard or VISA, print this page and fax it to 608-833-0508, or phone in the information at 608-833-9655. Charges will appear as "Main Communications" on your statement. |
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| Name* | ||||
| Title* | ||||
| Company* | ||||
| Address* |
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| City* | ||||
| State/Province* | ||||
| Postal Code* | ||||
| Country* | ||||
| Telephone Number* | ||||
| Fax Number* | ||||
| E-Mail Address* | ||||
| Accompanying Partner | ||||
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Reservations: Indicate below which tours you wish to take:
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| Special food/health/accommodation requirements | ||||
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AAF Association Member Fee of $500 |
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| Choose a Track |
Technical Track Marketing Track |
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| Payment Information |
Visa
Mastercard Credit Card Number: Expiration: Name on Credit Card (print): Amount: $ For security purposes, the card processor requires your card statement mailing: Street Address Postal Code Signature: |
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Last updated June 8, 2024