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Secure OnLine Registration Form-FORUM 2014
Please provide the following information (Note: All Items are required to be completed):
If you prefer, you may download the Registration form, complete it and fax it to ACC.
Badge Name
First Name
Last Name
Mailing Address
City, State, Zip
Indicate here if the above is a new address.
Do you have any dietary limitations (allergies, vegetarian, diabetic, etc)?
Are you disabled and require special services?

Registration Rates

Full Conference Registration Please check all that apply.
Please Note: Full Conference Registration Includes 1 Ticket to Beacon Awards Ceremony
ACC Member Rate - February 1 until April 30 $800
ACC Member Rate - May 1 until May 31 $900
ACC Member Rate - June 1 & On-site $1000
Non - ACC Member - add $100 to member registration fees listed above
# of additional tickets to Beacon Awards® Ceremony Only $150/person/ticket
Total Payment
Method of Payment:
MasterCard       Visa       American Express
Card #     Security Code     Expiration Date  

Hotel Information: Cutoff date May 9

Omni Hotel at CNN Center, 190 Marietta St NW, Atlanta, GA 30303. For reservations call 800-843-6664 and reference: Association of Cable Communicators. Rates are $159/night plus tax for up to four individuals sharing a single room. Join Omni's Select Guest program (free) prior to your stay for complementary Internet, morning beverage, pressing (up to two items), shoe shine, newspaper and room preference.

FORUM 2014 Refunds/Cancellations

FORUM cancellations will be accepted in writing if postmarked on or before May 15, 2014, and are subject to a $100 administrative fee. After this date registration fees will not be refunded.

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Mailing Address: PO BOX 75007 Washington, DC 20013-5007
Phone: 800.210.3396 or 202.222.2370
Fax: 202.222.2371