Advantage Developer Days

Advantage Developer Days 2006 Online Registration Form

Use this form for credit card registration.

If you are paying by check or money order, please print this registration form or download the PDF version of the registration form and fax to 281-973-4937 or mail it to:
Jensen Data Systems, Inc.
P.O. Box 3192
Crosby, Texas 77532-3192
Make checks payable to: Jensen Data Systems, Inc.

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First Name *
Last Name *
Title
Company
Mailing Address *
City *
State/Province *
Zip/Postal Code *
Country *
Phone Number *
Fax:
Email Address *

* Required Information

Please select the city of attendance:

Chicago, IL (May 9, 2005) Chicago, IL (Friday, April 7, 2006)

New York City, NY (Monday, May 1, 2006)

Los Angeles (LAX area), CA (Thursday, May 4, 2006)

Houston (IAH airport area), TX (Friday, May 12, 2006)

San Francisco, CA (Monday, June 12, 2006)

Boston (area), MA (Monday, June 26, 2006)

Amount Due (in US dollars):

Price: $199.00 (Early Bird Special 10% Discount Price: $179.00, register and make payment before discount deadline listed online.)

Special Discounts: Please see note about special discounts at bottom of this page.

If paying by credit card, we ask that you enter information about your payment in the provided fields below. However, for your security, we would prefer to get the credit card number over the phone. If you want us to call you at a phone number other than the one you provided above, or if you want to request that we call you at a specific time (please indicate your time zone), please use the comments field below to enter specific instructions. Or, if you would prefer, you can call 281-359-3311.

Credit Card Type:

Credit Card Expiration Month: Credit Card Expiration Year:

Name on Card (exactly as it appears on credit card):

Credit Card Billing Address (if different from mailing address):

Phone Number of Credit Card Holder:

Comments (for example, phone number to call for credit card number, best time to call, Advantage Partner code):

Hotel, transportation, and meals are not included in the registration fee.

Email confirmation of your registration will be send within 3 business days. Please contact us if you do not receive an email confirmation.

Special Discounts: If you are an Advantage Partner, you received a special Advantage Partner Discount code in an email from the Advantage team at iAnywhere. Please enter that code in the Comments field of this registration form. Upon confirmation, we will adjust the amount due to reflect the Advantage Partner Discount. If you received a special discount offer through some other organization, such as your user group, please enter that discount code into the Comments field. If you have any questions, please feel free to call 281-359-3311.

Cancellation Policy: Cancellations made prior to 10 days before the event are subject to a $50 cancellation fee. Cancellations must be submitted in writing to Jensen Data Systems (please email, fax, or phone as well). Cancellations or no shows less than 10 days prior to the event are nonrefundable.

If this form is not functioning properly, please report the problem to Info@JensenDataSystems.com. Thank you.