REGISTRATION

Fields marked with a * are required
Number of Passes:
*First Name
*Last Name
Title/Position
Company
*Address
 
*City
State
*Zip Code/Postal Code
*Country
*E-Mail
*Telephone
Fax
Please tell us what services you provide (check all that apply):
 Dating Site
 Social Networking Site
 Software
 Payment Processor / Financial
 Marketing Company
 Background Check / Screening		  Consultant
 Government Representative
 Venture Capitalist / Entrepreneur
Other: 
Please tell us which you are looking to meet (check all that apply):
 Dating Site Owners
 Social Networking Site Owners
 Software Providers
 Payment Processors
 Marketing Company
 Background Check / Screening Companies		  Consultants
 Government Representatives
 Venture Capitalists / Entrepreneurs
Other: 
*Include my name and company on the delegate list to be distributed at the event
No     Yes
How did you
hear of this event?
 
OPTIONAL: Our Mobile Technology Sponsors will show you during the event some new mobile technologies for mobile dating and social networking. Please provide your mobile number and carrier. You will only be shown this at the event and at no other time. For European and Asian users, please include the Country Code (ex: +350)
Mobile Number:
 Mobile Carrier
(Select One):
Preferred Password:
Please select the form of payment you will use:

By checking the box below, you agree to the Policy, Terms and Conditions of the conference. All sales are final and there are NO Refunds.

 I AGREE  (Required)

You are purchasing pass for:

the June 17 - 18, 2010 Social Media Conference in Beverly Hills.
Please select which conference sessions/events you are registering for:
FULL 3 DAY CONFERENCE
 OR 
  2 DAY CONFERENCE ONLY
(June 17 - 18, 2010)  
$1275
Chris Rollyson Session (June 16, 2010 @ 9AM to 12 Noon)
Clara Shih Session (June 16, 2010 @ 2PM to 5PM)
+ 2 Day Conference (June 17 - 18, 2010)
 $650 - 2 DAY CONFERENCE ONLY
(June 17 - 18, 2010)

PRE-EVENT CONFERENCE SESSIONS ONLY
$725
 - Chris Rollyson Session (June 16, 2010 @ 9AM to 12 Noon)
 - Clara Shih Session (June 16, 2010 @ 2PM to 5PM)

OPTIONAL: Special Events During the Conference
$100 - BUYERS AND SELLERS GATHERING
(June 16, 2010 @ 5:45 PM - 7:00 PM)

The total is: USD $1375
If you were purchasing a different quantity, change the number of passes at the top of the page.