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January 18-19, 2006
Days Hotel & Conference
Center
2200 Centreville Road
Herndon, VA 20170
PH: (703) 471-6700 FAX: (703) 742-8965
On-line- Registration and Speaker Forms
Please fill out the form and print it before clicking "submit".
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Type your information onto the on-line form. Please use the tab key rather
than the return/enter key to move through the form.
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Click the clear button if you want to correct an item(s) and start again.
(This option will clear all information in the form.)
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Note: When you "Click Submit" button you will receive an email
confirmation of the information you submitted and a computer page will display
the message that your information has been sent.
Microsoft Word document (Print and FAX)
Please do not fill out the form until you have saved it back
to your computer (desktop) first.
FAX Cover document (Optional - Print and FAX)
The fax cover is provided for your convenience to accompany
the Microsoft Word Registration form.
Note: Please do not fill out the FAX form until you
have saved it to your computer first.
Return to ACWI 2006 Registration and Speaker Forms
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