Attendee Order Form
Company Name: ______________________________________________________________________________
Address: ______________________________________________________________________
City/ Town: _______________________________ State: ___________ Zipcode:____________
Contact Name: ______________________________________________
Tel: ____________________________________
Cell: ____________________________ Email: ____________________________________
Method of Payment: _____ Check ______ VISA _____ MC_____ Debit my RS Account _____
Card Number: ___________________________________________ Exp Date: _________________
Name on Card: __________________________________________ Sec. Code_________________
Authorized Signature: _______________________________________________________
I agree to pay for my lodging: (please circle an option)
| (Two night stay) | ||
| Occupancy | Standard Room | Deluxe Room |
| Triple | $100.00 | $200.00 |
| Double | $200.00 | $300.00 |
| Single | $300.00 | $400.00 |
If you have any questions, please contact the office at (415) 884-2770 and ask for Mike Bauer (x2000)
Email: mbauer@ranchsystems.com
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Signature