GovMark Council

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Annual GovMarks Best of the Best Awards

Tuesday, July 28, 2009

2941 Restaurant

Falls Church, VA

To register for GovMark Council’s July 28 event, please fill out the following form:

Attendee Type:
GovMark Council Member - Complimentary
Attendee from Member Organization - $75
Peer from Non-Member Organization - $100

Attendee Details - All required
First Name
Last Name
Title
Organization/Agency
E-mail
Phone
Fax

Mailing Information
Address
Address 2
City
State
Zip
Country

Payment Information: (check one box)
I am a GovMark Council Member
Paying By Check
VISA, MC, OR AMEX

Credit card
Name as it appears on card
Number
Expiration date

Billing Information:
Same as mailing information
Address
Address 2
City
State
Zip
Country