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Register
for RoundTable 2012

Sign up below for one of our Regional RoundTable user conferences.

For the Welcome Dinner, please indicate your choice of Beef, Chicken, or Vegetarian for each attendees listed on your form.

Attendee 1:*
Attendee 2:
Attendee 3:
Other Attendees:
Total # of Attendees:*
Organization:*
Street Address:*
City:*
State:*
ZIP:*
Phone:
Email:*
Registration Fee ($472.50 pp before 04/27):
Payment Information:*

Welcome Dinner:*
City of Las Vegas Site Visit:*
Additional Comments:
* required