13th Annual Data Quality Solutions Summit

Fess Parker Doubletree Resort

Santa Barbara, California

October 23-25, 2012

REGISTRATION FORM

FAMILY NAME (Last name):

FIRST NAME: COMPANY:

ADDRESS:

CITY: STATE: POSTAL CODE:

COUNTRY: PHONE: EMAIL:

SUMMIT ONLY FEE
Includes: Tuesday welcome reception, Wednesday Awards Dinner, Wednesday through Thursday- breakfast, morning break, lunch and afternoon break.	On or Before Sept. 1, 2012	After Sept. 1, 2012
$200	$250
$300	$350
$400	$425
$475	$500
TOTAL SUMMIT:	$

PACKAGES (INCLUDE SUMMIT & ACCOMODATIONS) The 2 room nights are for Tuesday and Wednesday	On or Before Sept. 1, 2012	After Sept. 1, 2012
$610*	$660*
$720*	$770*
$825*	$850*
$900*	$925*
Number of additional nights	$214*
*price includes accomodation taxes, fees and assessments Number of guests	TOTAL PACKAGE:	$
Any dietary needs?: Guest room resquest?:

Timeline: Tues 6pm - 8pm Welcome Reception Wed/Thurs 9am - 5pm Summit Wed 5:30pm - 8pm Awards Dinner

13th Annual Data Quality Solutions Summit

Fess Parker Doubletree Resort

Santa Barbara, California

October 23-25, 2012

REGISTRATION FORM

PAYMENT

Payable to ECCMA, checks must be in U.S. dollars drawn on a U.S. bank

A $25.00 wire fee will be included in the TOTAL AMOUNT. ECCMA will provide bank information.

Card number: Expiry date:

Cardholder’s name: Signature:

Billing Details (if different from above)

Address:

City: State: Zip Code/Postal Code:

Country: Phone: Email:

Cancellation Policy

Registration refunds less a $50 processing fee per registrant will be granted to cancellations received in writing by 8/24/2012. No refunds will be granted after 8/24/2012. Substitution for a paid registered attendee may be made at any time.

Submit Registration Form to:

ECCMA

2980 Linden St, Suite E2, Bethlehem, PA 18017 USA

Fax: +1 610 625 4657 email: conference@eccma.org

Questions?

Contact: Melissa Hildebrand

Phone: +1 610 861 5990

Email: melissa.hildebrand@eccma.org

We look forward to seeing you there!