RPG World 2010 Better than Ever!

NOTE: Make checks payable to: "Cozzi Productions, Inc."

Questions?

If you have any questions or problems with registration, please contact Bob Cozzi directly.

NOTE: The RPG World Conference is being held at the QCenter in St. Charles, Illinois. This facility is an all inclusive training center. Overnight hotel accommodations and 3 meals a day are included in the "bundle" option below. Most attendees will be staying at the QCenter itself. Be sure to read the description of our registration options.

Please complete one registration form for each attendee. (All information is kept confidential.)
An email confirmation is sent to you after this form is submitted.

Promotion Code (if any):

Attendee Information:

First name:

Last name:

Your title:

Phone number

Ext:

Attendee e-mail address:

EVENT EMAIL NOTIFICATIONS ARE SENT TO THIS EMAIL ADDRESS.
DO NOT SPECIFY AN ADMINISTRATOR's EMAIL ADDRESS IN THIS SPACE

Administration e-mail:
Specify when different from attendee email

Billing notifications are sent to the above email, if specified. Otherwise they are sent to the Attendee's email address.

Name on Badge:
Appears on your Conference Badge
Use your first name, or a "nickname"

Select Event/Hotel:

Read the description of these choices before proceeding.

PLEASE SELECT EVENT:
Explain these choices

Hotel Reservation:

Hotel Room Needed? Yes None

Description	Check-in on or After	Rate Valid Until	Nightly Rate	Taxes and Fees	Daily Total
Small Euro-style sleeping room	Sun Sep 19	Wed Sep 22	119.00	14.52	$133.52
Standard ("executive") room	Sun Sep 19	Wed Sep 22	129.00	15.32	$144.32
One-bedroom suite	Sun Sep 19	Wed Sep 22	139.00	16.12	$155.12

Check-In

Check-Out

Event pricing is subject to change without notice.

Billing Information:

Billing Address (required)

Company name (if applicable)

Address line 1:

(optional) Address line 2:

City:

State/Province
(US/Canada only):

Postal/Zip Code:

Country (if not U.S.A.)

I have read and agree to the cancellation and refund policy

NOTE: When you submit this page, your Invoice/Confirmation will be displayed. Please print that invoice. An email is also sent to you with a link to redisplay your invoice at any time. Payment can be paid directly from your invoice page using a credit card, or mailed to the address on the invoice.

Payment Instructions: When you press Submit, an invoice will be displayed in your web browser. To pay by check, please print out the invoice that appears on the next page and include a copy of it with your payment. To pay by credit card, please print the invoice and then press the "Pay Now" button. You will be prompted to enter your credit card information via the secure PayPal payment system.

If you need to enroll additional attendees, return to this page and fill out a separate form for each attendee.