ROCKRGRL

mail-in
If you prefer not to register online, download the following conference registration pdf form and mail it to the address indicated.

For faster service fax to 206.624.7097 or e-mail orders@rockrgrl.com

register now!
To reserve your place at the ROCKRGRL Music Conference, please complete this entire form.

registration information
(all-access pass to keynotes, trade show, panels and showcases)
$250

wristbands

(showcase access only)
$50


Woman of Valor Award Dinner

Honoring Patti Smith
Thursday night, November 10, 2005

Renaissance Seattle Ballroom

515 Madison St., Seattle
5:30PM (check-in) -10:00 PM

Must RSVP
$100/per person - not included in registration fee.

Full Name:
Title:
Company:
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Daytime Phone:
Evening Phone:
Fax:
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Type of Business:
Contact me with information on advertising, tradeshow stand, goodie bags and additional sponsorship opportunities.
Conference Registration(s): @ $250

Showcase-Only Wristband(s):

@ $50
Names of Additional Guest(s)
for Registrations and Wristbands (Please Specify):

Women of Valor Award Banquet:

@ $100
Names of Additional Guest(s)
for Banquet: