November In Dallas 2009 Registration
MAIL: JFK Lancer NID
401 N. Carroll Ave, #204   
SOUTHLAKE, TX     76092

After submitting your registration payment, please bring your completed form to the conference.

Student (includes Banquet) $100
Adult (includes Banquet) $250
Author's Table/Speaker (includes Banquet) $50
Spouse (includes Banquet) $150
Additional Banquet $50
Bus Tour $50

Student Day Rate
$50

Adult Friday $100

Adult Saturday, (includes Banquet) $150

Adult Sunday $50

   

Conference fee
Total Registrations
 
Totals

$250 Adult

Number of Adults for Conference* ______

 
Amount $_________
 
$100 Student
 Students for Conference* ______
 
Amount $_________

 

$100 Spouse
Spouses for Conference* ______
  Amount $_________

 

$100 Speaker

Author's Table/Speakers for Conference* ______

 

Amount $_________

 

$50

Additional Persons for Banquet ______

 
Amount $_________
 
$50
Bus Tour Only _______
 
Amount $_________
*Includes Saturday Night Banquet
     
Total: $_________

Name:_____________________________________________________________________________________


Mailing-Address______________________________________________________________________________


City:_____________________________ State/Province/Country:______________________ Zip ______________


Phone:___________________________ Fax:______________________________Email:____________________

CHARGE ORDERS CANNOT BE PROCESSED WITHOUT THE FOLLOWING:

Method of Payment:

Money Order____ Visa____ Mastercard____ Discover____


CREDITCARD-NUMBER________________________________________ EXPIRATION-DATE_______/______


NAME ON CARD (please print name)_____________________________________________________________


BILLING-ADDRESS:_________________________________________________________________________

_______________________________________________________________________________________


City:_____________________________ State/Province/Country:_____________________Zip:______________


SIGNATURE_______________________________________________________________________

** LIST ADDITIONAL NAMES HERE

NAME __________________________________________________________________________________

NAME __________________________________________________________________________________

NAME __________________________________________________________________________________

Cancellations for conference events must be made no later than 15 days prior to the event for a full refund. All Cancellations made after that
date will be no more than 50% of total paid. We reserve the right to refuse entry to any person or group, or remove and refund any fee paid by
any person or group displaying unprofessional behavior. Times are subject to change.
CONFERENCE RATES DO NOT INCLUDE HOTEL, MEALS OR FLIGHT FARES UNLESS SPECIFICALLY NOTED.