Date Submitted
April 11, 2019 04:17 pm
Event Name
VASS 2019 Spring Conference – Registration for Additional Representatives of VASS Partners, Sponsors, and Exhibitors
Event Date(s)
May 05 - 07, 2019
Event Price
$600
Event Price - Must Change to Actual Amount
Event Price - Must Change to Actual Amount
Venue
Hotel Roanoke
Cancellation Deadline
April 26, 2019
Confirmation Email
Confirmation Email Address
jamieryan@peachjar.com
Address for 2nd Person to receive confirmation email (not required)
patrusso@peachjar.com
Address for 3rd Person to receive confirmation email (not required)
Please Provide Your Information Below
Name of Representative's Business or Organization
Peachjar
Membership Category of Representative's Business or Organization
Associate Partner (Level 4)
Representative's First Name
Pat
Representative's Last Name
Russo
Representative's Email Address
patrusso@peachjar.com
Representative's Phone Number (xxx-xxx-xxxx)
8042469156
Representative's Job Title
Senior Education Advisor
Billing Information
First Name of Billing Contact
Jamie
Last Name of Billing Contact
Ryan
Email Address of Billing Contact
jamieryan@peachjar.com
Phone Number of Billing Contact (xxx-xxx-xxxx)
8589972117
Purchase Order Number (not required)
P.O. Number will be included on invoice if provided here
P.O. Number will be included on invoice if provided here
Security Verification
Please check the box below
Payment
Pre-Payment is not required. However, if you would like to pay now by credit card or PayPal, you will be provided with a link to the VASS online payment portal when you submit your registration.
If you do not pay by credit card or PayPal at registration, the person whom you identify above as the Billing Contact will receive an invoice via email for payment of the registration fee. Payment is requested before April 26, 2019.
If a purchase order number is provided on the registration form, it will be referenced on the invoice.
Pay via Invoice or Credit Card/PayPal
Would you like to receive an invoice or pay now via PayPal?
Payment via Invoice