Summary: Event Registration Form
International Good Manufacturing Practices Conference - #71683
03/12/2012 - 03/15/2012
name - please print or type preferred name for name badge date of birth
business mailing address or home address
city state zip county
country and postal code (if outside the USA)
home phone work phone fax
e-mail address Please send me e-mail information about Georgia Center programs
By registering for this event, I agree to comply with all event cancellation policies. (1) A cancellation received by 5:00 p.m. ET on or before March 5, 2012, will be
refunded, minus a $35 processing fee. No refunds will be issued thereafter; substitutions will be allowed. (2) To change or cancel your registration, call 800-884-
1381, Monday through Friday, 8:00 a.m. to 5:00 p.m. ET. (3) If an event is cancelled for any reason, The Georgia Center will not be responsible for any charges
related to travel.
Your registration will not be processed until payment is received.
Early Registration ends January 20, 2012.
Registration (includes all meals, receptions, and breaks):
Registration fee on or before 1/20/2012 $1095 ______