Conference Registration Form

 Address:     

 City:                State:      Zip Code: 

 Phone:                 Fax: 

 Email:         

Special Dietary needs:     

Please provide us some information on guests attending events so we can plan for their attendance. (Additional cost: $125.00/per guest per social event- must be paid prior to event)

Number of guest(s) attending events:  

Please enter in each box, number of guest(s) attending each event:

Monday night-Catered Beach Fiesta

Tuesday night-Dinner aboard the William D. Evans Sternwheeler

Guest(s) Name(s) :

Total Guest charges Total Charge:

Select Payment Method:  

Check-Make checks payable to:

JAMIS SOFTWARE CORPORATION
Attn: ’2010 User Conference’
1746 Cole Blvd, Suite 225
Lakewood, CO 80401                                                                      

Credit card - Please call Tiffany Pierce @ 1-303-279-2929 to secure credit card information