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| Print Registration Form
Chartwell – Envirobiz Waste Industry Summit 2009 November 11th – November 13th, 2009 Grand Hyatt - Tampa, Florida USA |
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| Name: (Mr./Mrs.) ____________________________________________________________________________________
Title: ______________________________________Company: _______________________________________________ Address: __________________________________________________________________________________________ City: ______________________________________________________________________ State: __________________ Country: _____________________________ Zip: ___________________ Phone: ________________________________ Fax: _____________________________ E-Mail Address: ___________________________________________________ Spouse in Attendance: _______________________________________________________________________________ |
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| Joint Chartwell Waste Industry Summit & Envirobiz Special/Universal Waste Summit | |
$750.00 for Solid Waste Digest Customers who register before 9/1/2009 $1,150.00 for all others who register before 9/1/2009 |
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| Payment Options | |
| *Check enclosed or *Visa *MasterCard *Amex
Expiration date________________ Card Number ____________________________________________ Signature____________________________________________________________________________ |
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| Reminder: You are responsible for making your hotel, non-meeting meals, optional outings and other travel arrangements/expenses. The Grand Hyatt Tampa Bay offers all the amenities and services of a four diamond hotel.
Reservations can be made by calling 813/874-1234 under The Envirobiz Group. Return Registration Form To:
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| Summit Hotline: 952/831-2473 or Summit Fax To: 952/831-6550 Please print and include this form with your payment. |
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