REGISTRATION FORM   (Please complete or update)
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I would like to Register/RSVP for the VerbaCom Session/Event:


* Please Select Your Preferred Event:
1 - Date of Event: Thursday/Friday, March 30 - 31, 2017
Location of Event: VerbaCom's Dallas Facilities, 7290 Belt Line Road, Suite 610, Dallas, TX 75254

2 - Date of Event: Thursday/Friday, April 27 - 28, 2017
Location of Event: VerbaCom's Dallas Facilities, 7290 Belt Line Road, Suite 610, Dallas, TX 75254

3 - Date of Event: Thursday/Friday, May 25 - 26, 2017
Location of Event: VerbaCom's Dallas Facilities, 7290 Belt Line Road, Suite 610, Dallas, TX 75254

Price:   $ per participant (group setting) *No. Participants   *Total (Whole Dollars): $

Contact Information:
* Name Title
Company
* Address
* City * State * Zip
* Phone Fax
* E-mail

Please add me to your contact list

Questions, please call (972) 386-8372.
All registered participants or their event coordinator
will receive a confirmation email with the latest information about the event.

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