Guest Registration Form for Convention 2008

Guest Registration Form for Convention 2008

Please fill out this form completely, and then print it and sign to authorize payment. Mail or fax completed form to:

Convention Guest Registration

Stampin’ Up! Events Department

12907 S. 3600 W.

Riverton, UT 84065

Fax: 801-257-7883

Forms must be received no later than 6:30 pm on June 18. Registration is on a first-come first-served basis. We will confirm your registration, track number, and tour time via the e-mail address you list below.

Contact Information:

Name of registrant Preferred name (for Nametag)

Telephone number (including area code) E-mail address

Your demonstrator’s name Demonstrator’s ID number (if known)

Can Stampin’ Up! contact you in the future regarding specials and promotions? Yes No

Registrant’s Mailing Address:

Street address

City State ZIP/Postal code

Additional Information:

Check here if you would like vegetarian meals.

Check if you need any of the following:

ASL interpretation Limited French interpretation

Those who sign up for ASL or French interpretation will automatically be placed in class track 5.

Will you be bringing a wheelchair or motorized scooter? Yes No

If you have special needs not specified above, please e-mail .

Choose a Class Track:

Please number your first three preferences in order, 1 being your first choice:

Track 2 Track 3 Track 5 Track 6 Track 11 Track 12

Riverton Campus Tours:

If you would like to tour our Riverton campus, please number your first three time preferences in order, 1 being your first choice:

July 30:

9:00 am 9:30 am 10:00 am 10:30 am 11:00 am

11:30 am Noon 5:00 pm 5:30 pm 6:00 pm

August 1:

7:00 pm 7:30 pm

Billing Information: Cost is $400

Payment method: Visa MasterCard Discover (US only)

Name as it appears on card

Cardholder’s telephone number (including area code)

Credit card number Expiration date (DD/MM/YYYY)

Billing address: Check if same as Mailing Address above

Street address

City State ZIP/Postal code

I authorize Stampin’ Up! to charge my credit card for the convention guest registration specified above.

Authorized cardholder signature ______

Date signed ______

If you wish to cancel your registration, contact Demonstrator Support by 6:30 pm on June 18. The cancellation fee is $50 if you cancel by this date. Cancellations after 6:30 pm on June 18 will receive no refund.