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Registration Form Return this completed form with payment to Build Business, SMPS, 123 N. Pitt Street, Suite 400, Alexandria, VA 22314. or Email: [email protected] Fax: 703.549.2498 First Time Attendee Attendee Information Type or print clearly. Your badge will be printed with the information provided below: First Name Last Name Badge Name SMPS Member # Title Company Address City State/Prov. Postal Code E-mail Phone If you require special services or dietary considerations, contact [email protected] Full Conference Registration Member $999 $1,289 $1,389 $1,299 $1,589 $1,689 CPSM Day (Wed., August 12) Admission is limited to CPSMs Registered for Build Business? Not Registered for Build Business? $75 Visa Payment Summary Payment must accompany registration form. Registration Fee Special Event Fees + Team Discount* - Team Name Total Check Payment Type Credit Card # Expiration Date Name as it appears on Card Cardholder Signature *Team Discount of $90 applies to three or more attendees from the same firm registering for the full conference. Team registration forms and payments must arrive together at SMPS. **Chapter Team Discount of $90 applies to two to five attendees from the same chapter registering for the full conference. Team registration forms and payments must arrive together at SMPS. ***Only one discount is allowed per registration. ****Save when you join SMPS ($440 membership) and then register to attend Build Business '20 (special 1st year member rate: $999). Cancellations must be submitted in writing and sent to SMPS Build Business, Attn: Denise Schjenken 123 N. Pitt Street, Suite 400, Alexandria, VA 22314, or [email protected]. Registration fees will be fully refunded if written cancellation is received by July 10, 2020. Cancellations are subject to a $100 processing fee if written cancellation is received between July 11 and July 24, 2020. No refunds will be processed on or after July 25, 2020. MC Amex Please add dashes or spaces: XXXX-XXXX-XXXX-XXXX Security Code Billing Zip Pre-conference and Special Events $30 New Member Rate (1st year only)**** $999 Wednesday Thursday Friday Thur & Fri Nonmember Daily Registration Rates Member $300 $750 $550 $1,300 $500 $950 $750 $1,500 Nonmember Cyber Monday Expires 1/3/2020 Standard Rate Expires 6/15/2020 Late Rate Evening of Excellence $150 NOTE: Evening of Excellence is included with all full registrations and Thursday-only passes. Only one discount is allowed per registration.

Registration Form · 2019-11-29 · Registration Form Return this completed form with payment to Build Business, SMPS, 123 N. Pitt Street, Suite 400, Alexandria, VA 22314. or Email:

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Page 1: Registration Form · 2019-11-29 · Registration Form Return this completed form with payment to Build Business, SMPS, 123 N. Pitt Street, Suite 400, Alexandria, VA 22314. or Email:

Registration FormReturn this completed form with payment to Build Business, SMPS, 123 N. Pitt Street, Suite 400, Alexandria, VA 22314. or Email: [email protected] Fax: 703.549.2498

First Time Attendee

Attendee Information

Type or print clearly. Your badge will be printed with the information provided below:

First Name Last Name

Badge Name

SMPS Member #

Title Company

Address

City State/Prov. Postal Code

E-mail Phone If you require special services or dietary considerations, contact [email protected]

Full Conference Registration

Member

$999

$1,289

$1,389

$1,299

$1,589

$1,689

CPSM Day (Wed., August 12)

Admission is limited to

CPSMs

Registered for

Build Business?

Not Registered for Build Business?

$75

Visa

Payment Summary

Payment must accompany registration form.

Registration Fee

Special Event Fees +

Team Discount* -

Team Name

Total

Check Payment Type

Credit Card #

Expiration Date

Name as it appears on Card

Cardholder Signature

*Team Discount of $90 applies to three or more attendees from the same firm registering for the full conference. Team registration forms and payments must arrive together at SMPS. **Chapter Team Discount of $90 applies to two to five attendees from the same chapter registering for the full conference. Team registration forms and payments must arrive together at SMPS. ***Only one discount is allowed per registration. ****Save when you join SMPS ($440 membership) and then register to attend Build Business '20 (special 1st year member rate: $999).

Cancellations must be submitted in writing and sent to SMPS Build Business, Attn: Denise Schjenken 123 N. Pitt Street, Suite 400, Alexandria, VA 22314, or [email protected]. Registration fees will be fully refunded if written cancellation is received by July 10, 2020. Cancellations are subject to a $100 processing fee if written cancellation is received between July 11 and July 24, 2020. No refunds will be processed on or after July 25, 2020.

MC Amex

Please add dashes or spaces: XXXX-XXXX-XXXX-XXXX

Security Code Billing Zip

Pre-conference and Special Events

$30

New Member Rate (1st year only)****

$999 Wednesday

Thursday

Friday

Thur & Fri

Nonmember

Daily Registration Rates

Member

$300

$750

$550

$1,300

$500

$950

$750

$1,500

Nonmember

Cyber MondayExpires 1/3/2020

Standard Rate Expires 6/15/2020

Late Rate

Evening of Excellence $150

NOTE: Evening of Excellence is included with all full registrations and Thursday-only passes.

Only one discount is allowed per registration.