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100best RegForm Fields)
100best RegForm Fields)
Thursday, MarCh 1, 2012 Oregon Convention Center Portland Ballroom 5-6:30 p.m.: registration and no-host reception 6:30-8:30 p.m.: dinner and awards program Register early for discounts! Please fill out the information below. Type directly on the form.
Organization Contact name Address City Phone E-mail ( ) Ext. State Fax ( ) Zip Code
Companies that purchase a table of 10 seats will receive a FREE 1/6-page size, color advertisement in Oregon Business magazine, a $1,260 value. The ad can be placed in any 2012 issue. A representative of Oregon Business will contact you to make the arrangements. Design assistance is available. REGISTRATION FEES
Number of Individual Seats Table of 10 Seats Number of vegetarian meals requested TOTaL PayMENT ENCLOsEd = $ Quantity Paid by 2/24/2012 x $120 x $1,000 Paid after 2/24/2012 x $130 x $,100 = = $ $ TOTALS
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Payment must accompany this form. Registration forms received without payment will not be processed. MaiL TO: Oregon Business Attn: Bill Lee 715 SW Morrison St. Portland, OR 97205 100 BEsT CaNCELLaTiON/rEFuNd POLiCy: All cancellations must be received by Feb. 24, 2012. Refunds are subject to a $20 administrative processing fee. Fees are non-refundable after Feb. 24, 2012.