DMSi Partners Conference Registration Form

DMSi PartnerConnect! 11 • Enrollment Form
October 12-14, 2011 • Embassy Suites • Omaha, Nebraska

If you have been running Agility for years or considering migration, PartnerConnect! 11 is the place for you. October is a great time to visit Omaha, network with peers in your industry, and learn ways to improve your efficiency in these tough times by expanding your use of Agility. PartnerConnect! 11 runs from Wednesday 10/12 through Friday 10/14. Check out the complete agenda here. See you in Omaha!

Please complete this enrollment form by October 5, 2011. Submit one enrollment form per attendee please.

Enrollment Information

Conference enrollment
Full conference ($495)

Additional enrollment (optional)
Pre-conference seminar: Strategies to Maximize Pricing and Commissions (8:30 AM - 12:00 PM on Wednesday, October 12th. Cost: $195. Includes a box lunch.)

Personal/Company Information

First Name		Last Name
Title		Company
E-mail

	First time attendee

Emergency Contact		Emergency Phone

For our records, please indicate where you will be staying if not the Embassy Suites.
Hotel		Click here for online hotel registration!

Enrollment Billing Total
Based on your selections, the amount your company will be billed is $ Please review your registration information before submitting this form. Note: if the billing total is not updating properly, view the troubleshooting page.
Enrollment Processing Information
A processing fee of $50 applies to cancellations made after October 1, 2011. DMSi will bill your company's account for all applicable charges. Please print your completed enrollment form to keep for your records BEFORE submitting to DMSi. Select the button below to print this form... You will receive a confirmation e-mail at the e-mail address you provided on this form. Please verify that your e-mail address is correct before submitting to DMSi...