Identification/Contact Information |
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Name: |
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| *Last Name: |
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| *Job
Title: |
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| *Company: |
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| *Street
Address 1: |
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| Street Address 2: |
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| *City: |
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| *State/Province: |
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| *Zip
Code: |
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*Country: |
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| *Phone: |
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| *Fax: |
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| *E-mail: |
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 Registration
For every two 2010 ISMC registrations, your company will receive a mini-notebook computer! U.S. students will have their computer(s) shipped directly to their store; international students will receive their computer(s) at the class in Atlanta, Georgia. |
*Registration
Fees
(Early Bird until Sept. 10th): |
IGA Early Bird - $1,900 ($300
savings)
Non-IGA Early Bird - $2,300
($400 savings)
IGA Regular (after Sept. 10th)
- $2,200
Non-IGA Regular (after Sept.
10th) - $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.
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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
Sept. 10th. |
*Hotel
Reservation
|
Please make a hotel reservation in my name
I do not need a hotel reservation |
Hotel Room |
Single
Double |
Arrival Date
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I do not know yet
Saturday, Sept. 25
Sunday, Sept. 26
Other |
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Departure Date
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I do not know yet
Friday, Oct. 1
Saturday, Oct. 2
Other |
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| *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
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| *Do you have
Vegetarian needs? |
Yes
No |
*Are you interested in going to
the World
of Coke tour
on Sunday,
Sept. 26? |
Yes
No |
| Comments and/or questions? |
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