Paper Registration Form
IFRA North America 2015 GOLF OUTING JUNE 1, 2015 • North Jersey Country Club • Wayne, NJ REGISTRATION FORM Name: _________________________________________________ Company: _____________________________________________ Address: _______________________________________________________________________________________________________ Phone: _________________________________________________ Fax: _________________________________________________ Email: _________________________________________________________________________________________________________ Golf Reservations at $290.00 per person (includes lunch, dinner & greens fees) . . . Total Golf Reservations: $ ___________________ Please pair us together: Name: ____________________________ Company: ____________________________ Email: _______________________________ Name: ____________________________ Company: ____________________________ Email: _______________________________ Name: ____________________________ Company: ____________________________ Email: _______________________________ Name: ____________________________ Company: ____________________________ Email: _______________________________ Dinner-only Reservations at $125.00 per person . . . . . . . . . . . . . . . . . . . . . . Total Dinner-only Reservations: $ ___________________ Name: ____________________________ Company: ____________________________ Email: _______________________________ Name: ____________________________ Company: ____________________________ Email: _______________________________ PAYMENT Information Check enclosed (Payable to IFRA North America) - OR - Please charge: AMEX Discover Mastercard Visa Name on card: _________________________________________________________________________________________________ Credit Card number: ________________________________________ Security Code: _________________________________________ Exp. Date: _________________________ Signature: ___________________________________________________________________ GRAND TOTAL: $ ___________________ Send completed registration form with payment to: International Fragrance Association, North America Attn: Amy Reuter • 1655 N Fort Myer Drive, Suite 875 • Arlington, VA 22209 • FAX +1 571 312 8033 • [email protected] Written cancellations received on or before Friday, May 23, 2014 will recieve a full refund. No refunds issued after May 22, 2015. IFRA North America reserves the right to refuse admission to or reject the registration of any person or entity, and to remove any person or entity from the event, each is IFRA North America’s sole discretion at any time.
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