REGISTRATION FORM - P 2007 Palm Beach Partners Matchmaker Conference & Expo September 18, 2007 Palm Beach County Convention Center

Office of Small Business Assistance Palm Beach International Airport Palm Tran

Last Name:    First Name:    Middle:  Title/Position:  Agency/Company:  Address:    County:  City:    Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Viriginia Wisconsin Wyoming   Zip:      Email:      Business Phone:    Fax:    Registation Fees -  Registration includes: All Sessions, Continental Breakfast, Luncheon with Keynote Speaker Tony Brown, Refreshments at Breaks and a Closing Reception.                  Early/Early Fee by July 6 - $75.00      Fee After July 6th - $100.00                                                                              Enter Number of Participants   Total Amount Due:                                                     Matchmaker One-on-One Appointments One-on_one appointments with Governmental / Private Agency's can be scheduled online between August 28th and September 14th. To make an appointment, click here ( Matchmaker One-on-One Appointments )   (Included in Registration Fee) Registration and Payment Payment must accompany all registration forms and can be made by company check, personal check, or purchase order. Checks or money orders must be in U.S. funds and payable to School District of Palm Beach County and in the footnote write MATCHMAKER. Forms received without payment will not be processed.   Cancellation Cancellation requests must be submitted in writing or by email and received by September 4, 2007. Telephone cancellations will not be accepted. Cancellations are subject to a $25.00 cancellation fee. Registration fees will be forfeited for any person who does not cancel by the September 4th deadline. No partial refund will be given for functions not attended. Program Changes Conference organizers reserve the right to make changes to the conference agenda or with presenters. In the unlikely event this conference is cancelled, School District of Palm Beach County liability is limited to refund of registration fees only.  Contact: The Event Producers, L. B. Unlimted & Associates, Inc. by email at blewisb@bellsouth.net  or by phone at (561) 833-8080.           The Palm Beach County Convention Center is ADA Compliant. If, under the Americans with Disabilities Act, you require specific aids or services during your visit, please call 561-833-8080 prior to the registration deadline.