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Please complete all fields below. * Denotes mandatory responses.

* First Name
* Last Name
* First Name for Badge
* Job Title
* Company
* Business Address
Business Address 2
* City
* State/Province
Other State
* Zip/Postal Code
* Country
* Phone
Fax
* Email

* Please indicate your registration category:

Client
Partner
Customer Advisory Board Member
Speaker
Media/Analyst

*Are you a first time attendee?

Yes

If you would like to bring a guest to breakfast and lunch Monday through Thursday, as well as the Tuesday & Wednesday Evening Events, you will be given the opportunity to add your guest later in the registration process. Cost of the guest package is $499 per guest.

* Would you like to register a guest for GCC 2010?

Yes

If you have received a discount code, you must type in your discount code in the field below to automatically receive your discounted registration.

Discount Code

* Please indicate the current product(s) you are using. Please check all that apply.
If not applicable, please indicate your role (i.e. Keynote Speaker, Partner, or Media/Analyst).

Current Product(s) Usage

RMS	Interview Scheduling	Performance
VMS	AA Software	Compensation
High Volume	AA Outsourcing	Succession
Onboarding	PRI	Communications
Contact Management	Recruiting	Not applicable (i.e. Keynote, Partner, Media/Analyst)

*Jacket Size

* Do you have any dietary restrictions? (diet y/n)

Yes

Dietary Restrictions

* Do you have any ADA or other access needs?

Yes

Other Access/ADA Needs

* Do you have any additional comments?(com)

Yes

Additional Comments

Training sessions will be offered Monday, October 11 and Tuesday, October 12. Breakout sessions will be offered Wednesday, October 13 and Thursday, October 14. Registration for training and breakout sessions is not open at this time. All registered attendees will receive an email communication once training and breakout session registration is available.

I give consent to Peopleclick Authoria to use my photograph or any video image taken of me while participating in Peopleclick Authoria sponsored activities at this conference in any publication or advertising material, printed or electronic.