Registration
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Registration Form

Please fill out the registration form below.  All fields are required.  If you have any questions, please email EvisionsConference@evisions.com

 


Please fill out the Registration form completely.
Attendee Information
Attendee Name:
 
Name Tag: (How you would like to see your name)
 
Institution Name:
 
Institution Type:
 
If Other, Please Specify:
Title:
 
Email Address:
 
Phone Number:
 
Address:
 
Address Line 2:
City:
 
State:
 
Country: (If not United States)
Provinces: (Canada Only. Choose below)
ZIP:
 
Additional Information:
Participant Type:
 
Participant Level:
 
If Other, Please Specify:
Primary Area of Responsibility:
 
If Other, Please Specify:
Banner Products that your institution owns (Use the Ctrl key to choose multiple options)
 
If Other, Please Specify:
Evisions Product Competencies: (Use the Ctrl key to choose multiple options)
 
Special Interest: (1000 characters max)
Special Considerations:
If Other, Please Specify:
Gender: (For purpose of t-shirt size)
 
T-Shirt Size:
 
User Account:
Registration for the Evisions Conference requires an User ID and Password. If you already have an account please enter the username and password below. If you do not have an account and need one created please enter the desired username below. An email will be sent with the login credentials when the account is activated.
Username:
Password:
Proceed below to complete registration.
Pricing:
Early Bird Registration
Nov. 16, 2009 - Jan. 22, 2010
Fee: $180.00/person

Regular Registration
Jan. 23, 2010 - Feb. 26, 2010
Fee: $195.00/person

Late Registration
Feb. 27, 2010 - Mar. 19, 2010
Fee: $210.00/person

Registrations will not be accepted after the cut-off date of Mar 19, 2010
Payment:
Payment Method



 
To finalize Payment and Registration, print the PDF document, fax or mail (info below) and click the 'Submit' button at the bottom of the page.

Payment PDF

Payment information can be faxed to 714-730-2524 or mailed to:

Evisions, Inc.
Attn: Accounting- 2010 Evisions Conference.
410 Exchange, Suite 250.
Irvine, CA 92696.
Dates to Remember:
January 22, 2010 Last day for Early Bird Registrations and Early Bird Payments Due
February 26, 2010 Last day for Regular Registration and Regular Payments Due
March 9, 2010 Deadline for Hotel Reservations at the Hilton San Francisco for the 2010 Evisions Conference
March 19, 2010 Last day to register for the 2010 Evisions Conference and Late Payments Due
Cancelation Policy:
Please notify EvisionsConference@evisions.com  if you find it necessary to cancel your registration for the 2010 Evisions Conference. There will be a refund of the registration fee less a $50 cancellation fee for cancellations prior to February 26, 2010. For refund requests between February 27 and March 19, 2010 there will be a refund of the registration fee less a $100 cancellation fee. There will be no refunds after March 19, 2010.

No shows or cancellations at the event are 100% non-refundable.

All credit card transactions will appear on statement as Evisions, Inc.

Don't forget to book your Hotel Rooms now!