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NEODBUG Quarterly meeting registration form

NEODBUG Quarterly meeting
THURSDAY, June 7, 2018 8:30am - 4:00 pm
Crown Plaza Hotel
5300 Rockside Road, Independence, OH

Cost: If your company is a member of NEODBUG:	$25 pre-registration or $35 at the door
If your company is not a member of NEODBUG:	$35 pre-registration or $45 at the door

I will be attending the meeting. If I am not paying using a credit card or PayPal account, a check for all of the registrations on this form will be sent to NEODBUG at:

NEODBUG
PO Box 221331
Beachwood, Ohio 44122-0997

Payment must be received by Friday of the week preceeding the meeting for these registrations to be accepted. Paypal/Credit Card invoices should be emailed to you withing two working days of submitting this form.

You must press the "Submit" button at the end of this form to send it to NEODBUG.

Company name:

Company address:

The attendees from my company, including myself (first listed) are:

NAME	Bringing a Laptop	Phone	Email Address

Number of registrations:

Payment method or invoice amount: $

If your PayPal/Credit Card invoice should be sent to a different email address;
enter it here:

If the invoice address field above is blank, Paypal/Credit Card invoices will be sent to the first registrant on this form. NEODBUG will adjust the invoice amount if you miscalculated it. If email to the above address is rejected, the invoice will be sent to the first registrant on this form.

Additional information about this registration:

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