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MSBC REGISTRATION 2011

ENTER INFORMATION EXACTLY AS YOU WANT IT TO APPEAR ON YOUR NAME TAG

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format

Name Title Station Format .

If more than 10 registrations are needed, please contact Don Anthony at 770-737-2700. For Registration Cost, See Payment Amount Below.

Station/Company Owner (Optional)

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 2011 2012 2013 2014 2015

Payment Amount 1 Person - $445 2 People - $409 PP "Bonus Offer" 3 or More - $379 PP "5-Pack" - $1395 1 Day Pass - $249 1 Cocktail/Luncheon Pass - $100 Between Gigs? Get the "Tweener Rate:" $199 .

Best Phone # to reach you Fax Email

CONFIRMATION will usually be mailed within 30 days. Time may vary due to volumn of confirmations.

When mailing payment, make checks payable to Morning Show Boot Camp 2011 and mail to:

Morning Show Boot Camp - 147 Creekside Dr. Jasper, GA 30143

.NOTICE: Due to the exclusive nature of MSBC, registration is non-refundable. However, if written notice is given

more than 30 days prior to conference, credit will be given towards registration for the next scheduled MSBC

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Comments/Questions/Suggestions:

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How did you hear about Morning Show Boot Camp? (please choose all that apply)

Fax

Morning Mouth Magazine

Co-Worker/Friend

Other, Please describe.

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.If you experience any problems submitting this form, call 770-737-2700. You may also print out this form and fax it to 770-737-2701

 

 

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