BPA Worldwide: Leading the World In Media Auditing

BPA University Online Registration Form November 1, 2005 Hilton NY Towers 8:30 a.m. Registration 9:00 - 11:45 a.m. AM Program 12 p.m. Networking Luncheon 1:00 - 4:00 p.m. PM Program Complete one form per attendee. To register for BPA University New York, please select from one of the following: Full Day Session (includes lunch) $149 per person. Half Day Session (includes lunch)AMPM $99 per person Half Day Session (no lunch)AMPM $79 per person

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Your Company's Primary Business: Business Publication Consumer Magazine Association/Society Publication Advertising Agency Advertiser Company Fulfillment/Direct Mail Telemarketing Other (please specify): Your Job Function: Corporate Management Administration/General Management Advertising Management (sales) Circulation Management Research Consultant Other (please specify):
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Cancellation Policy: Must be received by October 15, 2005. No refunds will be given for cancellations after October 15, 2005 for the November 1st University. Cancellation requests must be submitted in writing and sent to attention of: BPA University Program c/o BPA Worldwide Two Corporate Drive, Ninth Floor, Shelton, CT 06484 Payment Method:
Company check to follow* Check #: To register by mail, print this form and send to: BPA University Program c/o BPA Worldwide Two Corporate Drive, Ninth Floor Shelton, CT 06484 Fax: Print this form and fax to 203.447.2900 Attn: BPA University * Signatures are required (if printing for fax or mail) Visa MasterCard American Express NOTE: You may wish to print this screen for your records before submitting. You will be billed at the above address. All submitted online registrations will receive a confirmation notice via email (if supplied) from BPA Worldwide within 48 business hours. Should you fail to receive a confirmation notice, please contact BPA Worldwide at 203.447.2800.
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