Database Conference Registration Form

FRED. NEWELL CUSTOMER RELATIONSHIP MANAGEMENT CONFERENCE

Co-sponsored by The National Retail Federation

The Retail Advertising and Marketing Association and SEKLEMIAN/NEWELL

Partnering with Retailers

Customer Relationship Management In the New Era of Internet Marketing

May 10, 2000 Hyatt Regency Chicago

Part I Please fill out registration form completely. Print Information as it should appear on your badge

Name:
Title:
Company:
Address:
City:	State:	Postal Code:
Country:
Phone:
Fax:
E-mail:
Website:

YES I will attend:
The 2^nd Annual Newspaper “Partnering with Retailers” Customer Relationship Management Conference
The 2^nd Annual Radio “Partnering with Retailers” Customer Relationship Management Conference
The 6^th Annual Retail Customer Relationship Management Conference

PLEASE NOTE: Each Conference requires a separate fee.
One participant: $1095
Additional participants: $950
Prior Attendees: $100 discount off these prices
Package Rates: 5 or more from same company call for package price
More Than One Conference: Sign up for one conference at full rate and attend a second for $850

Part 3 Payment Method

Date: Total Due:
Payment Method	Amex MasterCard Visa
Card # Exp Date: Billing Address: City: State: Zip:
ACCOMMODATIONS For conference accommodations and special conference rates you can call the Hyatt Regency Chicago, 312 565 1234. These special rates are guaranteed through April 18, 2000 for those identifying themselves as participants in the Fred. Newell Customer Relationship Management Conferences. Request the group rate for Seklemian/Newell: Single $198, Double $$233.