ONLINE REGISTRATION FORM

Washington, DC

San Diego, CA

Performance Measures for IT and e-Government
Date: April 28-30, 2003
Location: Washington, D.C.

Date: June 2-3, 2003
Location: San Diego, CA

Name:

Title:

Organization:

Address:

Address (cont'd):

City:

State: Zip:

Phone:

Fax:

E-mail:

How did you
hear about the Summit?

*REQUIRED

If you selected "brochure" or "faxed flyer," please find the
"Priority Code" written near your name on the brochure or fax
and enter it here.
Please enter that code here:

Post-Summit Workshop Preference(s):

	None
	Workshop A: WorkshopTitle
	Workshop B: WorkshopTitle
	Workshop C: WorkshopTitle
	Workshop D: WorkshopTitle

Payment Information:

	Credit Card
	Check
	Purchase Order/Training Form

Credit Card Number:

Expiration:

Name on Card:

Please call me, I don't want to send my credit card information over the Internet

Comments:

Cancellations: A ten percent charge will be assessed on your conference registration fee for any cancellation within 3 weeks of the event.