Two day Workshop includes two lunches, two
continental breakfasts, one dinner. Fee: $995.00 per person.   Register by June 30, 2009 and deduct $50.
 
Registration Information
Name: __________________________
Title: ____________________________
Company: ________________________________________
Mail Stop: ___________________________________
Address: _____________________________________
City:       _______________ State: ____ Zip: _________
Phone: work_________________________ 
home ______________________________
E-mail: ______________________________
Fax: ______________
Preferred method of contact: Phone _____ 
E-mail: ______ Fax: _______
 
Credit Card   __Visa   __Master Card  __Amex
Card #___________________Expiration _______
Security Code ______
Billing Address___________________________
                        ____________________________
Name on Card ____________________________
 
Please make check payable to:  Dangelmayer Associates 

Mail to:                                  
14 Butternut Lane                 
Gloucester, MA 01930  

For Accommodations,
go to www. cape-ann.com 
Peabody Marriott  978-977-9700
Comfort Inn  978-777-1700
Danvers Marriott Courtyard 978-777-8630

Seating is limited!  
Complete your registration today!

                     
Thank you!                                         

Vicki Dangelmayer
Vice President of Sales
vicki@dangelmayer.com
978-283-5156
www.dangelmayer.com
_______________________________________________
Contact: Vicki Dangelmayer; vicki@dangelmayer.com;  978-283-5156
Detach and retain for your records
 
2009 ESD Dream Team Workshop $995.00
($945.00 by June 30, 2009):
        Date paid:_____ Check #:______   Amount:______
 
Received from: _________________ 
Company name: ______________________