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CAL Connect2014 GP User Event Registration FormCAL Connect2014: Thursday, May 15, 2014 8:30 am - 4:30 pm Doubletree by Hilton: 42 Century Drive, Bristol CT 06010Full Agenda Coming Soon!REGISTRATION (Price is Per Attendee; Plus sales tax, if applicable):May 15th : CAL Connect2014 GP User Event $79.00 per person if payment is received before March 15th $99.00 per person if payment is received between March 15th - May 1st $109.00 per person if payment is received after May 1st Add May 14th morning SalesPad User Group meeting (Free with CAL Connect2014 Registration)May 14th : Attend the morning meeting for the SalesPad User Group ONLY for $29.00**If multiple people from your company are registering, please submit one form with all attendees.Your Company Name: Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down Attendee: Title/Role: Email: Choose Event(s): Click to pick event(s) from drop down PAYMENT & TERMS Please return completed form to amym@Complete below to pay by ACH or credit card. If paying by check, an Invoice will be sent upon receipt of registration form. Full payment is due upon receipt of Invoice.Sales tax will be added, if applicable.NO REFUNDS for no-shows or cancellations made after May 1, 2014. ?Check Please make checks payable to: CAL Business Solutions Inc.200 Birge Park Road, Harwinton, CT 06791 Questions? Phone: 860-485-0910 x 101 ?Credit Card or ACH Please fill out the following one-time payment form belowONE-TIME PAYMENT AUTHORIZATION –** Please complete Section I to authorize payment by credit or debit card.** Complete Section II to pay by ACH transfer using your checking or savings account.Authorization includes payment of amounts due CAL Business Solutions, Inc. for CAL Connect2014 Registration. Section I - Payment by Credit or Debit CardCustomer Name: Name as it appears on Card: Billing Address: Card Type Visa ?MasterCard ?American Express ?Discover ?Account Number: Expiration Date: Security Code: I (cardholder) authorize CAL Business Solutions Inc. to charge my account, as indicated above, for the amount of CAL’s invoice or proposal deposit. This authority will remain in effect until CAL Business Solutions Inc. has had reasonable opportunity to act on such request. This form will be shredded upon completion.Signature of Cardholder:Contact info - Phone/email: Payment Amount: $ Date: Section II - Payment by ACH Transfer directly to CAL using the banking information below:Customer Name: Name of Financial Institution: Union Savings BankFinancial Institution's Address: 225 Main Street, Danbury, CT 06810Checking/Savings Account Number: 4950041742Financial Institution's Routing Number: 221172241*** Please return to CAL so we are aware of the impending transfer in the amount of : Payment Amount: $ ACH Transfer Name: Anticipated Payment Date: ................
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