Registration FormReturn this completed form with payment to Build Business, SMPS, 123 N. Pitt Street, Suite 400, Alexandria, VA 22314. or Email: denise@smps.org Fax: 703.549.2498

First Time AttendeeSMPS Member #

Postal Code

Attendee Information

Please provide us with the following information.

First Name Last Name

Badge Name

Title Company

Address

City State/Prov.

E-mail Phone

Full Virtual Conference Registration

Member

$399 $599

VisaCheck Payment Type

Credit Card #

Expiration Date

Name as it appears on Card

Cardholder Signature

*Team Discount of $90 applies to three or more attendees from the same firm registering for the full conference. Team registration forms and payments must arrive together at SMPS. **Chapter Team Discount of $90 applies to two to five attendees from the same chapter registering for the full conference. Team registration forms and payments must arrive together at SMPS. ***Only one discount is allowed per registration.

Conference Cancellation-Since all conference sessions, roundtables and programming will be available for viewing after the live event, registration fees are non-refundable, and substitutions are not allowed.

MC Amex

Please add dashes or spaces: XXXX-XXXX-XXXX-XXXX

Security Code Billing Zip

Nonmember

Registration Rates

Payment Summary

Payment must accompany registration form.

Registration Fee

Team Discount* -

Team Name

Total

Only one discount is allowed per registration.