M2W

Thank you for Registering for the 8th Annual M2W®, April 24 & 25, 2012!

Please use this form to complete your registration and payment process. If you have any questions about the conference, registration or payment, please call Jacinta Devlin at 860.724.2649 x14.

* Attendee Name:

* Title:

* Company Name:

* Brand:

Twitter Name:

* Street Address:

Address Line 2:

* City:

* State/International:

* Zip Code:

Country (if not USA):

* Phone Number (with area code)

* Email Address:

Fax (with area code):

Admin Name:

Admin Phone:

Admin Email:

* Will you be attending the Pre-Conference Workshop? (Mon Apr 23)?

* Will you be attending the Pre-Conference Reception? (Mon Apr 23)?

* How did you hear about M2W®

* Number of M2W® Attendees. If more than 1, please list their names and titles in the "Questions" section.

M2W Registration, $1,995.00 US per person

Discount Code, if applicable:

Questions or Inquiries:

* Indicates Response Required

All payments are processed securely via Authorize.net, and your receipt and credit card statement will reflect a payment to the event producer, PME Enterprises, LLC.

Credit Card Online Payments