REGISTRATION  FORM
Register Early and Save!  Space is Limited!
Call 914-874-5395          
Download Registration Form and Fax to 914-874-5396
Email  info@networkingseminars.net
Online Now Fill in form and Submit - Pay with PayPal Buttons Below
Mail Form with Payment to  Networking Seminars, Inc. PO Box 300, Hartsdale, NY 10530
PLEASE FILL IN THE FORM AND SUBMIT TO REGISTER!
I will attend Oct. 20th Only
I will attend both days
I will attend Oct. 21st Only
$595 Early Registration for one day on or before September 20th - please check day above
$1090 EarlyRegistration for both days on or before September 20th
$695 Registration for one day after September 20th - please check day above
$1290 registration for both days after September 20th
$795 On-Site Registration per person
$100 Discount for past attendees and additional registrants registering together
 
Discounts for groups of three or more and for members of IFP, PGA, WGA, SAG, DGA, WIFV, NALIP and students.  
Please email us for more information or enter promotional code.
  
First Registrant
 
Second Registrant
Title
Company
Address
Address
City
State
Zip/Postal Code
Country
Phone
Fax
Email
Promotional Code:
Would you like to receive email announcements of other networking seminars?
 
PLEASE SELECT METHOD OF PAYMENT
Please select:
    Credit Card #:__________________________________________________ (for faxes only)
  
    Expiration Date:  _______ / ________
  
    Card Security Code (found on back or front of card): ____________
  
Please call me for my credit card information
 
Please send me an invoice
 
I will send a check - Please make your check payable in US dollars and payable to Networking
Seminars, Inc. (TIN 20-8596766)
Please mail your check and form to Networking Seminars, Inc., PO Box 300, Hartsdale, NY 10530
I will pay online by credit card with Paypal  (see Payment buttons below)
 
How do you hear about this conference    
Please use the PayPal button
below to attend both days at $1090
Please use the Pay Now to
attend one day only at $595