Conference/Event Registration Form

Remember to make your hotel reservation separately from your conference registration.
  • Member companies or organizations may send an unlimited number of employees with no registration fee.
  • For non-members, there is a $250 registration fee per person.

EIDX Section Member? (Y/N) *

CompTIA Member? (Y/N)

OAGI Member? (Y/N)

First Time at EIDX? (Y/N)

RosettaNet Member? (Y/N)

EDIFICE Member? (Y/N)

Referred By or Guest Of:
Event:
First Name:*
Last Name:*  
Title: *
Company:*
Address: *

City: *
State/Province/Region:
Zip/Postal:
Country:
Web Site:
Phone:*
E-mail address:*  

*required

To help us in our planning ...

Please tell us your ideas for future theme topics:

What training or educational sessions would you like to see on a future agenda?


Additional comments?