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REGISTRATION

Fields marked with an (*) asteriks indicate required fields.

Are you a member of Common Ground Alliance(CGA)?*	Yes No I am joining today. Please discount my registration. (More info.)
Are you a One-Call board member?	Yes No
Would you like to receive information about CGA?	Yes, please send me information on the Common Ground Alliance. No

Registration Code *

If you don't have a registration code, please enter "99".
Your registration code can be found on the printed marketing material (on the registration page) or in an email sent to you.

How many years have you attended this event? (include this year)

First Name *		Last Name *
Title		Company *
Street Address *		City *
State / Province*		Zip *
Country*
Phone *		FAX
Email *

(Note: This email address will receive all invoices, receipts, confirmation and conference updates

Registration Options - Information on registration legends here
Hotel Conference Package Registration
		CGA Member	Non-CGA Member
	4-Night Hotel Conference Package Four Nights hotel (Monday-Thursday), Conference and Expo	$1290	$1390
	3-Night Hotel Conference Package Three Nights hotel (Monday-Wednesday), Conference and Expo	$1155	$1255
	2-Night Hotel Conference Package Two Nights hotel (Tuesday-Wednesday), Conference and Expo	$1015	$1115
Without Hotel Package
		CGA Member	Non-CGA Member
	Conference & Expo	$725	$825
	Expo Only	$50	$50

Workshop Registration - What's Included?
		CGA Member	Non-CGA Member
	Damage Investigation Workshop Tuesday, Mar 06, 2012 - 8:00 am - 2:30 pm Full Day Workshop	$305	$355
	Subsurface Utility Locating & Marking Workshop Tuesday, Mar 06, 2012 - 9:00 am - 5:00 am Full Day Workshop	$395	$395
	Locator Workshop - Wednesday Wednesday, Mar 07, 2012 - 11:30 am - 4:00 pm Half Day Afternoon Workshop	$95	$105
	Locator Workshop - Thursday Thursday, Mar 08, 2012 - 8:30 am - 1:00 pm Half Day Morning Workshop	$95	$105

Job Function
Please tell us your Job Function	If Other, please indicate:
Industry
Industry *	If Other, please indicate:

CANCELLATION POLICY: Cancellations prior to 1/27/12 are refundable less a 20% administrative fee. After 1/27/12 all cancellations are non-refundable.

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