VIOLAND MANAGEMENT ASSOCIATES

2008 Violand Management Associates'
Business Planning Retreat

Company Name:

Mailing Address:

City:

State:

ZIP:

Phone:

ext.

Fax:

E-mail:

Program Location:

Check the location you wish to attend. For internal planning purposes, please indicate how many guest rooms you will reserve at the selected site’s hotel. Be sure to make your reservations directly with the hotel. (Program fee does not cover lodging).

Oct. 23-24, 2008, Canton, OH	Nov. 5-7, 2008, Tucson, AZ
#rooms #nights

Payment Information:

A 50% deposit is due at registration. You will be billed for the balance, which is due no later than September 23, 2008.

Retreat fee (per company) ................ US$1295

Last year’s attendee discount -US$100; for any company that attended the 2007 Business Planning Retreat

Total after discount:

US$

Charge US$:

Payment Method: Credit Card Withdrawal Checking or Savings

Credit Card Infomation:

Credit Card Type:

Account#

Expiration Date:

Security Code:

Name on Credit Card:

Address (with ZIP) where you receive your credit card statement:

Billing Address:
City:
State:	ZIP:

Checking or Savings Infomation:

Checking or Savings:	Checking Savings
Bank Name:
Name on Account:
Account No.:
9-digit bank Routing No.:
Withdrawal Amount:

Attendees:

Please list below the names of the people from your company who will attend the Business Planning Retreat. (Program materials will be sent to the first name listed).

First Name	Last Name

I will have a laptop computer at the Retreat: Yes No
The laptop I am bringing will run a CD-ROM: Yes No Not applicable

NOTE: Cancellations received on or before September 23 will be refunded, minus a US$25 registration service charge. After September 23, cancellations are subject to the entire retreat fee, which you may apply toward an alternate 2008 Retreat date or a personal on-site visit. No shows are not refundable. Contact Violand Management by phone (330.966.0700) or email (info@violand.com) to cancel.

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