Please enter your information below:
Faxing or emailing the completed form is the preferred way to register. However, you may mail your registration provided you notify us by email you are doing so.
Print this form and fax it to 617 507 7702 or upon filling out all the information online, press select all, and copy. Then paste the completed form into the body of your email to register@aoep.com  Seating is limited. Your registration will not have been accepted if you do not receive a confirmatory email response from us. Please email register@aoep.com if mailing payment to receive early-bird discount.

 

 

NEW MEDIA FOR RECRUITMENT, MARCH 3 2010

Event Date:

Event Location:

Name:

Title:

Company Name:

Address:

City:

State:

Zip Code:

Phone Number:

E-mail Address:


Payment Information:  $40 per attendee if pre-registered and pre-paid by 2/19/2010.    Otherwise $55 on a space available basis.

Check/Credit Card Amount

$

Credit Card Number:

Full Name on Credit Card:

 

 

Exp. Month/Year

 

Credit Card Type:

MC/Visa/Amex/Discover