INTERNATIONAL SUPERMARKET MANAGEMENT CLASS
October 2-7, 2011
Atlanta, GA

5 Ways to Register:

  • Fill out this electronic form
  • Call 773-695-2611 to register with an IGA Coca-Cola Institute representative
  • Fax the Registration Form to 773-693-9178
  • Mail the Registration Form to IGA Coca-Cola Institute, 8745 W. Higgins Rd., Ste. 350, Chicago, IL 60631
  • Email your information to igainstitute@igainc.com

Registration Form
All the fields marked with * are required.

Identification/Contact Information

*Title: 
*First Name: 

*Last Name: 
*Job Title: 
  *Company: 
  Company Website: 
   *Street Address 1: 
Street Address 2: 
*City: 
*State/Province: 
*Zip Code: 

*Country: 

*Phone: 
*Fax: 
*E-mail: 

Registration

*Registration Fees 
(Early Bird until Aug. 25th): 

IGA Early Bird - $1,900 ($300 savings)
Non-IGA Early Bird - $2,300 ($400 savings)
IGA Regular (after Aug. 25th) - $2,200
Non-IGA Regular (after Aug. 25th) - $2,700

Payment Information

*Payment Type: 

Credit Card: contact us with your credit card information.
Check: make check payable to IGA Coca-Cola Institute and mail to: IGA Coca-Cola Institute, 8745 W Higgins Rd, Ste 350, Chicago, IL 60631.
Bill Me: an invoice will be sent to your address.

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). Prices may change after Aug. 25th.

*Hotel Reservation 

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)
*Language  English
Spanish
Portuguese
*Polo Shirt Size  XS
Small
Medium
Large
XL
XXL
*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 going on a
shopping trip to the North Atlanta Premium Outlets on Saturday, Oct. 1 from
9am - 6pm (Cost = $30)?
This is different from the class's STORE TOUR.
Yes
No
Comments and/or Questions?