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Thank you for choosing to register for another exciting Connect Northwest Event! Please choose from the following three options for registration:

1. Click here to pay with your credit card via a secure website.
2. Download the printable PDF form and mail it in with your check.
3. Complete our online form and we will send you an invoice.
   
   
   REGISTER AND REQUEST INVOICE

   Name of Event:
   Date of Event:
   Company Name:
   I am an:	Entrepreneur Investor Sponsor Other
   Billing Address 1:
   Billing Address 2:
   City, State ZIP
   Phone / FAX:	/
   Email:
   Contact Name:
   Contact Phone/Email:
   Attendee Name:
   Attendee Title:
   Additional Attendees: (comma separated)
   Event Fee:	$  x  Attendees = $  Total
   Please invoice me at the address above:
   Please send me your newsletter:

If you have any questions or problems please call us at 509.358.2110 or email us at events@connectnw.org.

601 W. Riverside Avenue, Suite 1410, Spokane, WA 99201 | 509.358.2114 | ©2009 Connect Northwest and the Connect Northwest logo are registered trademarks. | Web Admin