Reservation Information
Print, complete and fax this form to the attention of Mike Chism at FAX # 972-680-9103 Deadline for RSVP is noon, June 20th For additional information call 972-238-8998 Cancellation after the RSVP deadline and no-shows are non-refundable. Attendee substitutions may be made for the same event after the RSVP deadline.
Cost: $15 per MTBC Members & CTS Exhibitors / $20 per Non-Members

PAYMENT REQUIRED WITH RESERVATION REQUEST

Name:
Title:
Company:
Email:
Billing Name*:
Billing Address*:
City:
State:
Zip:
Phone:
Credit Card Number:
Expiration Date:
Check One:	_______ I am a member or a CTS Exhibitor
	_______ I am a Prospective Member