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Registration Form for 8th Annual Forum on Coupon and Copay

PayPal Verified icon Credit card (Visa, MC, Discover, AMEX) and checks accepted. Please make checks (in U.S. funds drawn on a U.S. bank) payable to: CBI.
(No personal checks accepted.)

★ ★ ★ VIRTUAL EVENT ★ ★ ★

In light of the current global climate, Coupon and Copay is now being offered as a fully digital event, rescheduled to take place October 13 - 16, 2020.

This event is only open to registered attendees. To access the digital offerings, delegates will be required to use their provided account login.

Thank you all in advance for your understanding and look forward to you joining us in October.

Attendee Information
Please enter your First & Last Name as you would like it to appear on your badge.
Attendee Company Information
Please enter your Company Name as you would like it to appear on your badge.
Attendee Qualifications
Request Additional Confirmation
If you are registering someone other than yourself for this conference and would also like to receive a registration confirmation, please complete the following, otherwise leave blank.

PLEASE NOTE: All advertised discounts are taken from the full, Standard Rate.

If you have a promo code, you must enter it here AND click the "APPLY NOW" button.
Payment Options
PLEASE NOTE: Your company address (entered above) will be passed to our credit card processor but will not hinder the validation of the payment.

Please enter any additional comments or instructions above for our customer service team.

Receipt of your registration will be sent to the email address you have provided.