Participant
Information |
| *Title: |
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| *First
Name: |
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| *Last Name: |
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| *Job
Title: |
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| *Company: |
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| Company Website: |
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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 |
*Registration
Fees
|
IGA Regular
- $2,300
Non-IGA Regular - $2,800 |
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 West Higgins Road, Suite 350, Chicago Illinois
60631.
Bill Me: an invoice will be sent to your address. |
Hotel
Disney's Coronado Springs Resort
1000 West Buena Vista Drive, Lake Buena Vista, Florida, 32830
Room Rate (single/double): $149 USD per night plus tax. This rate includes up to two adults (18 yrs and older) per room. Additional adults in the room pay $15 USD per person per night. Rates may change after Mar. 21st. Room reservation deposit: each room reservation requires a deposit equal to cost of one night plus tax (12.5%). This deposit is refundable if the reservation is cancelled at least five days before arrival. |
*Hotel Reservation
|
Please make a hotel reservation in my name
I do not need a hotel reservation |
Hotel Room |
Single
Double (2 adults)
Double (3 adults)
Double (4 adults) |
| Arrival Date |
Sunday, May 1st
Monday, May 2nd
Other |
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| Departure Date |
Wednesday, May 4th
Thursday, May 5th
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 on the Retail Tour that
takes place on May 1? |
Yes
No |
| Comments and/or Questions? |
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