ContactCenterWorld.com (North America) Inc
1151 Barton Street • Thunder Bay • ONTARIO • P7B 5N3
Tel: +1-807-624-2080 • Fax: +1-807-624-2088 • e-mail: info@ContactCenterWorld.com

Top Performers in the World Conference Registration Form
Las Vegas, Nevada: December 2nd-4th


$CAD Basic Platinum* # of Tickets Total
Executive Pass
3 Day Conference Pass and Gala Dinner and Video of Conference Presentations, Conference Materials, Breakfasts/Lunches/Breaks, Access to Expo
$2,845.00
Save $150		 $2,845.00
$2,560.00
Save $435

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Value Pass
3 Day Conference Pass and Gala Dinner, Conference Materials, Breakfasts/Lunches/Breaks, Access to Expo.
$1,895.00
Save $100		 $1,895.00
$1,705.00
Save $290

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_________
3 Day Conference Pass
1 Pass to 3 Days of the Conference, Conference Materials, Breakfasts/Lunches/Breaks, Access to Expo.
$1,705.00
Save $90		 $1,705.00
$1,535.00
Save $260

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2 Day Conference Pass
1 Pass to 2 Days of the Conference, Conference Materials, Breakfasts/Lunches/Breaks, Access to Expo.
$1,420.00
Save $75		 $1,420.00
$1,280.00
Save $215

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Gala Dinner
1 Pass to the Gala Dinner and Awards Ceremony
$345.00
 $345.00
$310.00
save $35

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Gala Dinner Multiple Booking
10 Seats at the Gala Dinner & Awards		 $3,105.00 $3,105.00

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Vol 1 Contact Center World's Elite Benchmarking Study or DVD of the Conference Proceedings
Add to any 3 day, Value Pass or Executive Pass (sold seperately at $1295-$1995 each)		 $1,230.00 $1,230.00

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Platinum Membership
Get your platinum membership now to take advantage of platinum pricing plus all of the benefits of unlimited access to ContactCenterWorld.com		 $199.95
 $199.95

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*The Platinum pricing is available to Platinum members only, and Platinum members cannot order tickets for non-platinum members at the discounted price. (1 platinum ticket per platinum membership)

Note: To purchase multiple Platinum Memberships and/or multiple Conference Tickets with Platinum discounts, please fax or phone in orders.



Platinum Member ID ___________   Subtotal

  = $ ________

Multiple Booking Discount (book five or more 2 or 3 day passes and save 15%)
Subtract 15% off of multiple passes

  = $ ________
  Taxes (GST - Canada only) 5% of total report cost  = $ ________
 

TOTAL

  = $ ________

PLEASE FAX TO +1-807-624-2088


ContactCenterWorld.com (North America) Inc
1151 Barton Street • Thunder Bay • ONTARIO • P7B 5N3
Tel: +1-807-624-2080 • Fax: +1-807-624-2088 • e-mail: info@ContactCenterWorld.com

Top Performers in the World Conference Registration Form
Las Vegas, Nevada: December 2nd-4th

Please complete all relevant fields. For Canadian orders please ensure you add the appropriate tax where indicated
Name _____________________    
Company _____________________ Cardholder Address (if different)
Street Address _____________________ Street Address _____________________
  Suite # _____________________
City _____________________ City _____________________
State/Prov. _____________________ State/Prov. _____________________
Country _____________________ Country _____________________
Postal / Zip _____________________ Postal / Zip _____________________
Phone _____________________ Phone _____________________
E-mail _____________________ E-mail _____________________
Fax _____________________

How did you hear of this event? (enter referral code, association, email)



Payment methods
Invoice: Please note that payment must be received before the promotional pricing expires or else the current market prices will be charged at the time payment is received.
Invoice me in:
CADGBP
AUSUSD
I authorise ContactCenterWorld.com to charge my: Personal Credit Card
Company Credit Card
This form serves as a formal written authorization and approval for ContactCenterWorld.com to charge the credit card described below.
card CAD $ ________
Card #
                
Expiry
                       
     m       m       y        y  

Security Code:
(Show Me)
       
        
        
        
 Last 3 digits (4 on AMEX) on reverse of card
Name on card: ____________________________    
Cardholder Signature: ____________________________ Date ___________________________

I would like my receipt by (select one or both): FAX EMAIL

NOTE - By filling out and submitting this form, you are agreeing to the Conference Booking Terms and Conditions outlined http://www.contactcenterworld.com/worldawards/terms-conditions2.asp. All credit cards will be billed in Canadian Dollars at the prevailing rate at time of booking quoted on oanda.com

PLEASE FAX TO +1-807-624-2088