Corporate Registration Form - Business Marketing Association

You are submitting a corporate registration for the 2011 BMA Conference, taking place June 1-3 at the Sheraton Hotel & Towers in Chicago, IL.

You must have three or more attendees (including yourself) from the same company to receive corporate rate discount. If you have more than 15 attending from your company, please contact Barbara Ciulla at bciulla@marketing.org.

BMA Mobile Conference Alerts Full Terms & Conditions:

BMA is offering mobile access to Annual Conference events and alerts over SMS. Enrollment requires providing a mobile phone number during time of registration or by texting CONNECT to 26246. 10 SMS msgs/month. Message & data rates apply. Customers will be allowed to opt out of this program at any time.

To register Mobile Phone Numbers for BMA Mobile Conference Alerts please enter mobile phone numbers of those from your company wanting to receive Unleash text messages in the Mobil Phone Number fields below.

Terms and conditions can be found at www.marketing.org/optout. Please be sure that you agree with these mobile terms before submitting mobile phone numbers.

Participants will be receiving a text message from us (26246) to with they must reply YES to complete enrollment in the BMA Mobile Confernce Alerts program. Questions can be answered by texting the word HELP to 26246.

To stop the messages coming to phones, you can opt out of the program via SMS. Just text the word STOP to 26246. You can also opt out by e-mailing the word STOP to optout@marketing.org.

Your Name: *

Your Title: *

Your Company: *

Your Phone: *

Your Mobile Phone (for SMS Alerts):

Your E-Mail: *

Attendee 2 Name: *

Attendee 2 Title: *

Attendee 2 E-Mail: *

Attendee 2 Mobile Phone (for SMS Alerts):

Attendee 3 Name: *

Attendee 3 Title: *

Attendee 3 E-Mail: *

Attendee 3 Mobile Phone (for SMS Alerts):

Attendee 4 Name:

Attendee 4 Title:

Attendee 4 E-Mail:

Attendee 4 Mobile Phone (for SMS Alerts):

Attendee 5 Name:

Attendee 5 Title:

Attendee 5 E-Mail:

Attendee 5 Mobile Phone (for SMS Alerts):

Attendee 6 Name:

Attendee 6 Title:

Attendee 6 E-Mail:

Attendee 6 Mobile Phone (for SMS Alerts):

Attendee 7 Name:

Attendee 7 Title:

Attendee 7 E-Mail:

Attendee 7 Mobile Phone (for SMS Alerts):

Attendee 8 Name:

Attendee 8 Title:

Attendee 8 E-Mail:

Attendee 8 Mobile Phone (for SMS Alerts):

Attendee 9 Name:

Attendee 9 Title:

Attendee 9 E-Mail:

Attendee 9 Mobile Phone (for SMS Alerts):

Attendee 10 Name:

Attendee 10 Title:

Attendee 10 E-Mail:

Attendee 10 Mobile Phone (for SMS Alerts):

Attendee 11 Name:

Attendee 11 Title:

Attendee 11 E-Mail:

Attendee 11 Mobile Phone (for SMS Alerts):

Attendee 12 Name:

Attendee 12 Title:

Attendee 12 E-Mail:

Attendee 12 Mobile Phone (for SMS Alerts):

Attendee 13 Name:

Attendee 13 Title:

Attendee 13 E-Mail:

Attendee 13 Mobile Phone (for SMS Alerts):

Attendee 14 Name:

Attendee 14 Title:

Attendee 14 E-Mail:

Attendee 14 Mobile Phone (for SMS Alerts):

Attendee 15 Name:

Attendee 15 Title:

Attendee 15 E-Mail:

Attendee 15 Mobile Phone (for SMS Alerts):

Will you or anybody in your company be attending the Marketing Leader Dinner Event?
(Cost to attend Dinner event is $95 per person)
Yes
No

If Yes to Market Leader dinners, how many will be attending?

Please insert names of people who will be attending the Market Leader Dinners:

After you click "Submit", a page will open asking you to click a link to make payment for all of those from your company attending the conference.