On-Line

Submit complete registration form on-line

 
$160 per person
($1,600 for Keynote Luncheon table of 10).

**Bring a Young Woman (14-21 of age) at special package price
of $235 for both you and one young guest.
(Please type the full name of your guest in the Comments field at the bottom of the form)

Name: Title:
Company:
Street:
City: State: Zip:
Telephone: Day Fax:
Email

PAYMENT METHOD:

Credit card is the only payment method you can use to register on line.

Please mail check or money order to PBWC together with this form, do not submit on line.
Registration not complete until payment is received.

For information on public transportation call BART (510) 464-6000 or CalTrain (800) 660-4287.

Visa MasterCard American Express Money Order*(see below) Personal Check*(see below)

Card Number Expiration Date Amount $

Mailing my check number for $ payable to PBWC, Inc.

PBWC is not-for-profit organization: CA State Id#1508-361, Fed ID#94-309-3360

**Registration by check cannot be submitted on Line:
Print this form and Fax to 650-548-0840
or print and mail to PBWC, Inc. PO Box 6657, San Mateo, CA 94403

Cancellation Policy: No Refunds after April 3, 2000.

" Registrations received after April 27th will not be confirmed by mail. Your badge/ticket will be available on May 4th, at the PBWC registration desk at the San Jose convention center. Badges will be under the last name of attendee."

For information regarding Conference Attendance or exhibit space, please call: 650-548-2424

Conference Registration automatically includes membership in the
Professional BusinessWomen of California, and all associated benefits

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