Hard Rock Hotel
Las Vegas, Nevada, USA
November 9 - 13, 2009
WWRUG 2009 CONFERENCE REGISTRATION
Date
January
February
March
April
May
June
July
August
September
October
November
December
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Salutation
Mr
Mrs
Ms
Dr
Rev
First Name
Last Name
Name on Badge, if different
Company
Phone
E-Mail
Mailing Address
WWRUG 2009 Rules
I have Read and I Agree with the Rules of Conduct
Agree
Disagree
Number of Additional Guests Attending the Celebration ($100 per guest)
0
1
2
3
4
5
01
First Name
Last Name
02
First Name
Last Name
03
First Name
Last Name
04
First Name
Last Name
05
First Name
Last Name
If you Disagree you will not be allowed to register for the WWRUG 2009 Conference
Form of Payment
Check
PO
Credit Card via Paypal