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ATTENDEE REGISTRATION
For assistance with online registration call Tom Tudor 909-647-5515
Registration opens at 1:45PM, Trade Fair and seminar 2:00-8:00PM, dinner 6:00PM
Attendee 1 first name
last name
title
email
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Attendee 2 first name
last name
title
email
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Attendee 3 first name
last name
title
email
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Attendee 4 first name
last name
title
email
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Attendee 5 first name
last name
title
email
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Attendee 6 first name
last name
title
email
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Company Information
Company:
Phone:888-888-8888
extension:
Scholarship Fund Donation (optional)
Sponsor (optional)
  *Donate to the George Epstein Scholarship fund
Total Billing To Credit Card
Registration Total:
Credit/Debit Card Information
Card Number:No dashes or spaces please
. BILLING ADDRESS OF CREDIT CARD
*Address Line-1:
Address Line-2:
*City:
*State:
*Zip Code:
*First Name:
*Last Name:
*Expiration Month:
*Expiration Year:
*Card Brand:
*Security CVV
CVV for MasterCard, Visa and Discover cards. Enter 3 digits number shown on the signature side of these cards.
CVV for American Express. Enter The 4 digit number shown above the 15 digit number on the front side of the card.
Email address for registration confirmation / email receipt
*E-Mail Receipt:
Substitutions: You can substitute registered attendees at any time.
Refunds: No refunds for cancellations made less than seven days prior to the event.
Privacy: The Society of Plastics Engineers, Southern California Section does not retain credit card information.
Contact information may be used to provide you with details on future Southern California SPE events.
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