Upon receipt of this RSVP form, you will be contacted by a Horizon representative to confirm your reservation.

Confirmations MUST be guaranteed by a credit card.
Payment may be made by check or credit card.

In anticipation of your attendance, various expenses are being incurred in your behalf.  Among others, these include guaranteed payments for materials, equipment, hotel and support personnel.  Accordingly, reservations cancelled prior to August 25th may receive a 50% refund of admission price.  Failure to cancel after this date, failure to cancel at all, and no-shows are non-refundable.

Your Contact Information:
First Name*:
Last Name*:
Phone*:
Email*:
Company*:
License Number*:
Nbr of Attendees*:		Pay by Credit Card Pay by Check

MUST provide guaranteeing credit card. If paying by check, card will be charged if check not received by 8/25/10.
Name on Card:		Select Card Mastercard Visa Discover Amex
Expiration:	JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC    2010 2011 2012 2013 2014 2015
Card Number:		CVV:
Billing Street Address:		Zip:

   

Enter Attendees:

First:

Last:

Email:

Attending Seminar?

Attending Reception?*   *No charge for paying seminar attendees, $35.00 fee for any additional guest(s)