LaFleurs Conference Registration Pages

La Fleur’s 2010 Lottery Symposium
Registration Form
Online Registration

Washington, DC
March 28-31, 2010

La Fleur’s 2010 Lottery Symposium Registration Form

(Renaissance Mayflower Hotel, Washington, D.C.—March 28-31, 2010)

Registration fees cover the four-day conference, opening night cocktail reception, continental breakfasts, coffee breaks and two luncheons. Each delegate must fill out a separate form. Please send form with the payment (credit card or cash payment) to register. Make checks payable in U.S. funds to: TLF Publications, Inc. Mail registration and check to: TLF Publications, 14424 Chrisman Hill Dr., Boyds, MD 20841 U.S.A. Fax registration to: (301) 916-1718.

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Last Name

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Organization

Street Address

Address (cont.)

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Select Type of Registration (Ends February 10, 2010)

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Visa Master Card American Express Discover

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Expiration Date

Registration Terms:

TOTAL AMOUNT OF MONEY PAID BY CHECK OR CREDIT CARD: $________

§ Please Note: RESTRICTED registration fees are non-refundable after February 10, 2010. There are no exceptions to this rule. Delegate substitutions are acceptable. Registration fees are not exchangeable for future La Fleur’s conferences. The CANCEL ANYTIME registration fee allows a vendor to cancel his/her registration at any time and receive a full monetary refund. To charge your registration fee, please check the credit card type and complete the card number and expiration numbers above:

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