To register immediately, send an e-mail to firstname.lastname@example.org or send a fax to 718-353-2404
Please circle appropriate prefix: Mr. Ms. Dr.
First Name____________________________________Last Name _____________________________
Cell Phone (if available)________________________________________________________________
Please briefly describe your business or organization and your interest in attending this conference.
— Conference Fee
(Includes all conference activities for 3 days)
Pre-register till August 15th $250
— Pre-register August 15th - Sept. 11th $275
Walk in, subjected to availability $300
— One Day Conference Fee (includes admission to all activities of the day) $120
— Inaugural Reception on Thursday, Sept. 12th, $35/person $
— Banquet on Saturday, Sept. 14th, $700 for Table of 10, or $75/person $
Total Enclosed $
Please send the check to GOPIO Inc., 18-30 129th St., College Point, NY 11356, USA.