CONFERENCE SERVICES CARIBBEAN LTD

"MANAGING SUCCESSFUL CONFERENCES"

Register Early - Space is limited!
ATTENDEE INFORMATION

Last Name: First Name:
Title (Mr., Mrs. Ms., Dr.): Preferred Name (for badge):
Job Title: Employer:
Employer’s Address: Employer’s Address Line 2:
Business Phone: Cell Phone:
Fax: Email:
Do you require special services (dietary, physical, etc.)?
If Yes, please explain:

ON-SITE EMERGENCY INFORMATION

In the event that the Organizer needs to contact someone about an emergency regarding you, please indicate:
Name of person to contact: Phone number:
Relationship to you:  

REGISTRATION FEES

All fees are in US$.

 
  By February 18
Per Person
After February 18
Per Person
On Site
Per Person
Registration Fee $100 $130 $150
Group of three (3) or more
from the same organization - please list additional names.
$80 $100 $125
NB. Registration Fee includes: Seminar materials List of Participants Coffee Breaks Lunch
  
PAYMENT INFORMATION
Please…only one form of payment per Registration Form!

Cheque enclosed with Registration Form Money Order enclosed with Registration Form
In order for your registration to be processed, completed Registration Form, with payment, should be mailed to:
Conference Services Caribbean Ltd., P.O. Box 250, Mandeville, Jamaica - Fax: 876-625-8934Tel: 876.961.0055
An acknowledgement and confirmation number will be faxed or e-mailed to you within 24 hours of receipt of payment.

CANCELLATION & TRANSFERS

Full refunds will be given for cancellations up to February 23. There will be no refunds after February 23. Substitutions for Registered Attendees may be made, in writing, at any time.