The Gathering
Greater Columbus Convention Center
Friday, March 12, 2009, 7:30-9:00 am
Keynote Speaker:
Jeff Struecker
U.S. Army Captain
THE SPRING GATHERING:

# of Regular Seating $40/person $400/table: _________

# of Individual Seating Tickers @ $40/seat: _________

Total Enclosed $____________

Please make all checks payable to:
Name ___________________________

Company_________________________

Address__________________________

City_____________  State_________  Zip___________

Phone_____________________________
Method of Payment: ___Check   ___Visa   ___Mastercard

Name on Card: __________________________________

Credit Card #:_______________________________  Exp. Date:______ 3 digit security code:______

Name on Credit Card:_________________________________________________________________
PRINT THIS FORM THEN Mail or Fax to:
The Gathering  |  3520 Snouffer Rd Suite 200  |  Columbus, Ohio 43235  |  ph 614.336.3905  |  fax 614.336.3908

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