Capitol Impact - Registration

	Homeland Security: Coordinating Emergency Response with the International Community Today: 7/31/2010 7:57:35 AM Event Date: 10/22/2007-10/23/2007 Location: Georgia Tech Hotel and Conference Center Atlanta, GA

As a Sponsor/Exhibitor, you are required to abide by the Georgia Office of Homeland Security and SADIA International Conference Rules and Regulations. Please acknowledge that you understand the statement and agree with it, before continuing.

I have read and accept the Liability Statement.

Sponsor/Exhibitor Registration Information::

Name:

Title:

Agency/Organization:

Address:

City/St/Zip:

Phone:

Fax:

Email:

Web Site:

Sponsor/Exhibitor Category
enter desire sponsorship catergory

	Platinum Sponsor - $5,000
	Gold Sponsor - $3,000
	Silver Sponsor - $2,500
	Bronze Sponsor - $1,000
	Exhibitor - $500

LOGISTICS

Sunday October 21, 2007
Sponsor/Exhibitor Setup 5:00 p.m. - 11:30 p.m.

Tuesday October 23, 2007
Sponsor/Exhibitor Breakdown by 5:00 p.m.

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Payment Information:

Total:

Payment Method:

Check

You will receive an e-mail confirmation/invoice when you have submitted this form.

Payment by check made payable to: SADIA International

Please mail a copy of your confirmation/invoice form along with your check to:

SADIA International

P.O. Box 669157

Marietta, GA 30066

Exhibitors/Sponsors are responsible for making their own hotel reservations by contacting the Georgia Tech Hotel and Conference Center at 404-838-2100 or 1-800-706-2899.

Ask for group name " Georgia Office of Homeland Security".

There is a special rate available until September 21, 2007.
Single Occupancy is $179.00
Double Occupancy at is $189.00

Should you wish to do so, please provide a brief description of your company (50 words or less) for the conference newsletter.

If you have more representatives than your complimentary registration, you will need to register each additional attendees and pay the $125 fee, which will cover meals.

#	First Name	Last Name	Email	Included Staff - $0.00	Addl Staff - $125.00
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If you have any further questions, contact Jon Gordon at Work: (770) 578-0121, Cell: (404) 392-6561 or e-mail: jon.gordon@sadiainternational.com

Please click SUBMIT REGISTRATION BUTTON ONCE to complete the registration

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