REGISTRATION FORM

2012 Network Supplier Trade Show
The Westin Diplomat Resort & Spa - Hollywood, Florida
April 22-25, 2012




Network Supplier Tradeshow Home Page
Attendee Registration: (underlined info will appear on your name badge)
*Name: *Title:
*Company:    
*City: *State/Province:
*Email Address: *Daytime Phone:

If you are a Strategic Sponsor Supplier:

Please check box if you will be the occupant of the sleeping room included in the Sponsor Package.


Hotel Registration: The Westin Diplomat Resort & Spa
3555 South Ocean Drive, Hollywood, FL
954-602-6000
www.diplomatresort.com


*Hotel Group Rates:

*If you're making your own reservations you must provide the hotel with a credit card deposit.
Call 888-627-9057 and reference Network Services or click on the reservation link: http://www.starwoodmeeting.com/Book/NSC2012

*There may be availablity of other room types (club level, suite, etc.). To reserve an alternate room type, please call the hotel for options and availability and make a reservation at the prevaling rate.

*Hotel Arrival Date:
*Hotel Departure Date:
Special Requests*/Starwood Number::
*The hotel will make note of your requests but will not guarantee honoring them.
Cancellations must be received by the hotel more than 72 hours prior to arrival to avoid charge of one night room/tax.
 

GUEST INFORMATION- For Spouses, Guests, Children, etc. (NOT MEETING ATTENDEES)
First Name: Last Name: Age (if under 18):
First Name: Last Name: Age (if under 18):



*EVENT SIGNUP:
(qty) Sunday 4/22 Welcome Event (6:30-10:00pm)
(qty) Monday 4/23 Awards Breakfast (7:00-8:00am)
(qty) Monday 4/23 Women in Network Lunch (11:45am - 1:00pm)
(qty) Wednesday 4/25 Golf at Westin Diplomat Resort & Spa (1:00pm; $140 per person; rentals $80/set)
 
Special Needs:
(dietary, accessible, etc.)
QUESTIONS? Call Kristi Mirocha at 262-786-6763, meetings@wi.rr.com, or Kim Fitzpatrick at 224-361-2271, kfitzpatri@nsconline.com