CASRO

Online Registration Instructions:

1. Complete each section in full, note fields that are required (#).
2. Each person registered will receive an automatic email confirming successful submission of the registration request.
This is not a confirmation of registration.
3. Information provided to us on this form will be used in accordance with our
Privacy Policy. For more information, please contact us directly at 631.928.6954.

FEE CATEGORY (select one, all fees in US Dollars) #

CASRO Early Bird registration (Registered and/or paid on or before Monday, September 8, 2008)	ABEP, AMAI, ESOMAR, MRIA, MRS Non-CASRO Members All registrants (no multiple-registration discounts)
First registrant: $995 Additional registrants: $925 each	All Registrants: $1,100 each
CASRO Member Rate (Registered and/or paid after Monday, September 8, 2008)	Non-Member Rate All registrants (no multiple-registration discounts)
First registrant: $1,100 Additional registrants: $1,075 each	All registrants: $1,395 each

PROMOTIONAL CODE (if applicable):

HOW DID YOU HEAR ABOUT THIS CONFERENCE?:

CONFIRMATION & RECEIPT OF REGISTRATION
Within 48 hours, each registrant listed below will receive a separate Email Confirmation of Registration. If a registrant does not receive this email within 48 hours, he/she is not registered and should contact us immediately.

In addition, the first registrant listed below will be sent an email receipt. NOTE: a Confirmation of Registration/Receipt can also be sent to a separate email address provided here:
Email Address: (input only if different from Registrant 1 below)

REGISTRANT INFORMATION*
(# Denotes required field)

Registrant 1:

# Company/Organization:

# First Name:

# Last Name:

# Registrant's E-Mail Address:

# First Name for Badge:

# Title:

# Address:

Address 2:

# City:

State:

Province or Other:

# Postal/Zip Code:

Country:

# Telephone:

Additional Registrants from your company:

Registrant 2:

First Name:

Last Name:

Registrant's E-Mail Address:

First Name for Badge:

Title:

Telephone:

Same Mailing Address as Registrant 1 or:

Address:

Address2:

City:

State:

Province or Other:

Country:

Postal/Zip Code:

Registrant 3:

First Name:

Last Name:

Registrant's E-Mail Address:

First Name for Badge:

Title:

Telephone:

Same Mailing Address as Registrant 1 or:

Same Mailing Address as Registrant 2 or:

Address:

Address 2:

City:

State:

Province or Other:

Country:

Postal/Zip Code:

Guests/Spouses - Evening Cocktail Reception and Dinner ($125 per night):

1 - First and Last Name

Day:

2 - First and Last Name

Day:

Recreation: (Coming Soon)
We will contact all Conference registrants when Recreation registration opens with details on these outings.

Thursday Golf Outing Registration

Thursday Deep Sea Fishing Excursion

Show your support: Sponsor the Conference:
Sponsorship includes:
- Logo in Conference brochure and on website
- Full-page ad in booklet distributed at Conference
- Company description and logo included in Conference booklet
- List of attendees one week prior to Conference
- Mailing labels for all attendees provided after Conference
- Conference proceedings

CASRO Member Rate - $650.00

Non-Member Rate - $1000.00