International Supermarket Management Class Online Registration Form

International Supermarket Management Class Registration Form

IDENTIFICATION-CONTACT INFORMATION
Name
Job Title
Company
Mailing Address
City
State-Province
Zip Code
Country
E-mail
Company Website
Phone
Fax
REGISTRATION
Registration Fees	IGA Early Bird - $1,900 Non-IGA Early Bird - $2,300 IGA Regular - $2,200 Non-IGA Regular - $2,700
PAYMENT INFORMATION
Payment Type Your attendance in the class is not confirmed until payment is received.	Credit Card: contact us with your credit card information. Check: make check payable to the IGA Coca-Cola Institute
HOTEL The Hampton Inn, 244 North Ave, Atlanta, GA 30313 Upon arrival you must present your credit card to pay for your hotel room. Room Rate - $115 per night plus tax (single or double). Price may changes after Aug. 25th.
Hotel Reservations	Please make a hotel reservation in my name. I do not need a hotel reservation.
Hotel Room	Single Double
Arrival Date	Saturday, Oct. 1 Sunday, Oct. 2 Other:
Departure Date	Friday, Oct. 7 Saturday, Oct. 8 Other:
Class Program	Certificate - classroom only Diploma - classroom and online (no additional cost)
Polo Shirt Size	XS S M L XL XXL XXXL
Language	English Spanish Portuguese
Do you have vegetarian needs?	Yes No
Are you interested in going to the World of Coke tour on Sunday, Oct. 2?	Yes No
Are you interested in our networking dinner on Thursday, Oct. 6th?	Yes No
Are you interested in going on a shopping trip (Premium Outlet Mall) on Saturday, Oct. 1 from 9am - 6pm? This is different from the class's store tour.	Yes No