Registration Form:
This form is for ONE registrant only. Clearly print or type all information.

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Badge Name

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First Name

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Last Name

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Title

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Company

(______)____________________________(______)_________________________________________
Phone Number                                                      Fax Number

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E-Mail Address

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Mailing Address

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City                                          State                                           ZIP

Indicate here if the above is a new address.
Do you have any dietary limitations (allergies, vegetarian, diabetic, etc)? Please attach a written description of your needs.
Are you disabled and require special services? Please attach a written description of your needs.

Registration Rates (payment must accompany your registration form)

Full Conference Registration (includes one Beacon Awards Ceremony Ticket)
ACC Member Rate - March 15, 2008 and later	$800	_______________
Sunday Master Course "Building Integrated Social Media Campaigns"	$150 (additional fee required)	_______________
Non - ACC Member – add $200 to member registration fees listed above		_______________
2008 Beacon Awards® Ceremony only	$135/person x # of tickets	_______________
Total Payment		_______________

Method of Payment:

Check enclosed (payable to ACC)   MasterCard   VISA   American Express

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Card #                                                                            Exp. Date

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Issued to

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Signature

Individuals may fax their registration to ACC at 202-222-2371. Registration forms received by fax must include credit card information and signature. Questions, call ACC at 202-222-2370 or visit us on the Internet at www.cablecommunicators.org.

All payments may be sent to ACC, FORUM 2008, P. O. Box 75007, Washington, DC 20013-5007

Hotel Information:
Renaissance Mayflower Hotel, 1127 Connecticut Ave., NW, Washington, DC 20036

• Special FORUM 2008 room rate: Single/Double - $299 + tax
• To guarantee FORUM 2008 room rate, hotel reservations must be made by March 7, 2008.
• To make reservations call The Mayflower Hotel at 800-468-3571or 202-347-3000 and reference: ACCACCA.