Registration Form 2012 PMI Memphis Professional Development Day September 28, 2012 7:30 AM - 6:00 PM Central Time Esplanade Memphis 901 Cordova Station Avenue Cordova, TN 38018-6316 Full Name: ____________________________ Organization: __________________________________ Mailing Address: ______________________________________________________________________ City: ___________________________ State/Province: ____ Zip/Postal Code: _____________________ Telephone: (______)_______________Fax: (______)______ Email: _____________________________ General Registration Early bird registration (prior to September 5, 2012) PMI Memphis Member ……………………………………………………………………………………………………………………………………………… $135.00 Non PMI Memphis Member ………………………………………………………………………………………………………………………………………… $155.00 Registration (September 5, 2012 to September 19, 2012) PMI Memphis Member …………………………………………………………………………………………………………………………………………… $150.00 Non PMI Memphis Member ………………………………………………………………………………………………………………………………………… $175.00 Group Registration Group Discount ………………………………………………………………………………………………………………………………$125.00 x ___ = $____.00 Minimum of 10 attendees of PMI Non Member and PMI Member *Please re-use this form for each of your attendees for his/her information Sponsor Registration Platinum Sponsor Fee ……………………………………………………………………………………………………………………………………………$5,000.00 Gold Sponsor Fee……………………………………………………………………………………………………………………………………………………$3,000.00 Silver Sponsor Fee …………………………………………………………………………………………………………………………………………………$1,500.00 Additional Guest Sponsor Fee …………………………………………………………………………………………………………$115.00 x ___ = $____.00 *Please re-use this form for each of your guests for his/her information Exhibitor Registration Exhibitor Fee ….………………………………………………………………………………………………………………………………………………………… $750.00 TOTAL ENCLOSED: On Site Registration (September 28, 2012) PMI Memphis Member $150.00 Non PMI Memphis Member $175.00 *Credit card accepted *Cash not accepted $ ________.00 Please mail your registration form with payment to: PMI Memphis TN, Chapter PO Box 383283 Germantown, TN 38183-3283 How did you hear about this event?  Internet  Direct Mail  Magazine  Advertisement  Word of Mouth  Other _______ Is this the first time you have attended?  Yes  No Pursuant to the Americans with Disabilities Act, do you require specific aids or services? __________________________________ Would you like a vegetarian meal?  Yes  No  Special Notes _______________________________________________________ PAYMENT METHOD: Check or Money Order must be in U.S. funds payable to: PMI Memphis. There will be a $25.00 fee charged on checks returned by the bank due to insufficient funds. Confirmation will be sent to the email listed on registration form. Cancellations/Changes and Refunds: Please 2ce7e85081594ac391e601d241dbcbf5.aspx visit http://www.cvent.com/events/2012-pmi-memphis-professional-development-day/fees- For more information, please email: VP_Special_Events@pmimemphis.org www.pmimemphis.org REGISTRATION INFORMATION GENERAL  Paid attendance to PDD event, includes lunch, and the networking session GROUPS   Minimum of 10 attendees of PMI Non Member and PMI Member) Paid attendance to PDD event, includes lunch, and the networking session SPONSOR INFORMATION PLATINUM - $5,000        One large company banner (6 X 2.5) displayed at the event. Free registration for four (4) attendees to PDD event, includes lunch and the networking session (Add up to 4 additional registrations @ $115 each). Company logo and Sponsorship acknowledgement on all marketing material up until the event. Full page ad in the event program. Premium seats reserved at luncheon and keynote addresses. Web page acknowledgement with large corporate logo and link to company website. Opportunity to provide small giveaways for Event Bags, which are given to all Professional Development Day attendees. GOLD - $3,000       One medium company banner (4 X 2.5) displayed at the event. Free Registration for three (3) attendees to PDD event, includes lunch and the networking session (Add up to 3 additional registrations @ $115 each). Company logo and Sponsorship acknowledgement on all marketing material up until the event. Half page ad in the event program. Premium seats reserved at luncheon and keynote addresses. Opportunity to provide small giveaways for Event Bags, which are given to all Professional Development Day attendees. SILVER- $1,500        One small company banner (3 X 1.6) displayed at the event. Free registration for two (2) attendees to PDD event, includes lunch and the networking session (Add up to 2 additional registrations @ $115 each). Company logo and Sponsorship acknowledgement on all marketing material up until the event. A quarter page ad in the event program. Premium seats reserved at luncheon and keynote addresses. Web page acknowledgement with small corporate logo and link to the corporate website. Opportunity to provide small giveaways for Event Bags, which are given to all Professional Development Day attendees. EXHIBITOR INFORMATION EXHIBITORS - $750      Reserved 6 foot table for a booth during the event. Two (2) volunteer passes to work at their booth, includes lunch and the networking session, Company acknowledgement on event programs. Web page acknowledgement with link to corporate website. Opportunity to hand out small giveaways at booth. www.pmimemphis.org