REGIONAL CONVENTION REGISTRATION

ATTENDEE INFORMATION

____________________________________________________________ SYNTEK GLOBAL ID !____________________________________________________________ NAME (Last, First) ! FEMALE MALE

SHIRT SIZE:

____________________________________________________________ BANK NAME !____________________________________________________________ RECEIPT NUMBER: !

Payment Method (Bank Deposit)

Please fill out the information below and fax your registration form to 801-386-5004, or call Syntek Global at 801-386-5007 to have an account manager assist you.

REGIONAL CONVENTION REGISTRATION

SELECT QTY

ITEM DESCRIPTION AMOUNT DUE

Early Bird CONVENTION REGISTRATION ONLY $39 USD

Total Due ($39 x QTY)

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Once your convention registration is in the system, you will receive a confirmation email. All registration fees will be non-refundable. Your ticket(s) is transferable. However, you will need to call the corporate office if you are selling your ticket to someone else. Please print off your confirmation email and bring it with you to the event.

Please contact Syntek Global customer support if you have any questions at 801-386-5007 or email [email protected].

TERMS AND CONDITIONS

Regional Convention Tickets are Non-refundable

____________________________________________________________ SYNTEK GLOBAL SPONSOR ID !____________________________________________________________ NAME (Last, First) ! FEMALE MALE

SHIRT SIZE:

SMALL MEDIUM LARGE X-LARGE

GUEST INFORMATION (IF APPLICABLE)

REGIONAL CONVENTION 2015 March 6-7 USA - Maryland March 21-22 Caribbean - Jamaica April 11 Europe - Italy April 11 West Africa - Nigeria April 18-19 Southern Africa -South Africa

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