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Thursday, February 28, 2013 | Registration: 11:30 a.m. | Lunch & Keynote Speaker: 12 1:15 p.m. Tampa Convention Center | 333 S. Franklin St., Tampa
Name: Email: Individual Ticket ($75.00) Check Credit Card Number: Signature: Billing Address: Billing Zip: *Please note that a small service fee (5.5% plus $0.99) applies when charging to credit card. Please send form via fax to (813) 6261858 or email at innovate@celestarcorp.com. For more event details or to register online go to www.knowledgem.com Amount: Table of 10 ($800.00) Credit card* (Visa/Mastercard/Discover/American Express) Exp. Date: Phone: