2008 Registration

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2008 Convention Registration :

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Please fill out the following form to start online registration. Security note: this form is secured using the highest grade, 256 bit encryption. No information here is stored on our web server.

First Name: *Last Name:

Title: Company/ Organization :

*Address:

*ZipCode: State: *Phone Number:

*Email Address:

Are you:

How did you hear about this event?:

*Required Field

Option 1: Full Registration:


CHCC Member	$300
Non-Member	$350
International Participant	$300
Student***	$175

Option 2: Separate Events:


CHCC Casino Night	$45
Bay Area Wines/ Northern Region	$40
Golf Tournament	$250

Option 3: Individual Tickets:


Gala Awards Banquet**	$150
SF HCC Chamber Welcome Mixer**	$10
Opening Reception**	$40
CA Top 30 Recognition Luncheon**	$65
Latina Recognition Luncheon**	$65
Chairman's Reception**	$45
Governors Appointees Reception**	$45
Workshop Sessions Only**	$45

VIP & Promo Guests: Please select 'VIP' or
'Other Promo' under 'Payment Type' below

** Included in Full Registration
***Students: please fax ID to 916.669.2870

Total Amount Due $ 0

*Payment Type:

*Name on Credit Card :

*Billing Address

*Credit Card Number: *Expiration Date (mm/yy): /

*Security Code (on back): *Billing Zipcode

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