2009 EII Awards Banquet Registration

Fill out all form fields to register for the 2009 Excellence in Information Integrity Awards Banquet.

Date:	Tuesday, November 17, 2009
Where:	Northern Illinois University - Naperville Campus
Location:	1120 East Diehl Road, Naperville, IL 60563 USA
Schedule:	6:00 pm - 7:15 pm - Cocktails & Hors d'oeuvres 7:15 pm - 7:30 pm - Welcome 7:30 pm - 8:30 pm - Dinner 8:30 pm - 9:30 pm - Awards Ceremony

Ticket Information:
Cost per Ticket:	$75.00
Quantity of Tickets:
Guest Name(s) - Please list all banquet guests, including yourself.

Contact Information:
Organization Name:
Contact First Name:	Mr. Ms. Dr.
Contact Last Name:
Contact Title:
Address:
City:
State:
Zip:
Country:
Email:
Phone:
Additional Comments (vegetarian meal, handicap access, etc).

PLEASE CONTINUE TO THE NEXT PAGE TO COMPLETE
THE REGISTRATION PROCESS.