Conference Registration Form

Connected Cities USA - Speaker Registration Register for Free Speaker Pass & Additional Company Passes - Provides access to both days of the conference. Includes all Networking & Expo Activities.
Speaker Pass = 1 Complimentary Conference Registration - Must be speaking to qualify for this rate
Number of Speaker Passes Needed - $0

Number of Additional Company Passes Needed - $495
Connected Cities USA - Sponsor & Exhibitor Two Day Conference Pass Provides access to the conference.
Includes all networking & expo activities.
Quantity determined by your sponsorship package

Platinum Sponsors = 3 Complimentary Conference Registrations
Gold Sponsors = 2 Complimentary Conference Registrations
Silver Sponsors = 2 Complimentary Conference Registrations
Reception Sponsorship = 1 Complimentary Conference Registration
  Number of Full Conference Passes Needed
Connected Cities USA - Discounted Registration Fee for Exhibit Personnel Provides access to both days of the conference. Includes all Networking & Expo Activities.
  Additional Full Booth Pass
Number of Passes Needed - $250

Discounted Registration Fee for Exhibit Personnel - Provides access to both days of the conference. Includes all Networking & Expo Activities.

Expo Only Passes for Booth Personnel
Number of Passes Needed

Provides access to exhibit area only for the conferences.
Excludes food & beverage.

Coupon if applicable:

Company Name*:
First Name*:
Last Name*:
Title:
Email*:
Address*:
City*:
State:
Zip*:
Country*:
Phone*:
Fax:

What is your job function*: Other:

What is your role in the purchasing process for your organization*? Authorize/Approve   Evaluate
Recommend           None of the Above

Were you invited by a company? If so, which company invited you?:

International Attendees: Please click here for more information on VISA requirements.

How did you hear about this conference:

Before submitting, please read the cancellation policy:
To receive consideration, all cancellations must be received in writing. Upon receipt, a refund or credit will be issued towards a future event produced by Webcom Communications, less a 25% administrative fee. (Cancellations which do not indicate preference will be issued credit.) No refunds will be issued within two (2) weeks of the event. Credit toward a future event can be issued if requested within 24 hours of the start of the conference and can be used for one year from the date of the event. Webcom Communications will not be held responsible for cancellations or delays in programming due to acts of God, war, government disorder, curtailment of transportation facilities, or other emergency making it inadvisable, illegal or impossible to hold the meeting.

Yes, I have read and understand the cancellation policy.*
 
 

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