Customer Needs Discovery & Innovation Congress – August 13-15, 2007 / Chicago, IL

— REGISTRATION FORM —

Dates: Customer Needs Discovery & Innovation Congress will be held August 14 – 15, 2007. Registration /continental breakfast begins at 7:00 am and sessions begin at 8:00 am on Tuesday, 8/14 and conclude at 3:30 pm on Wednesday 8/15. Pre-conference workshops offered Monday, 8/13 from 8:00-12:00 and 1:00-5:00; registration/breakfast begins at 7:00 am.

Venue & Hotel Accommodations: The conference will be held at the Palmer House Hilton. Please call 877-865-5321 directly for room reservations; a limited block of rooms are offered at $224/person -- mention the Management Roundtable  to receive the special rate (please reserve early to ensure availability). 

Program Fees: Fees include materials binder, breakfast, lunch, breaks, networking receptions, follow-on materials. 
	
(  ) 2 Day Conf. Only				1995
(  ) 2 Day Conf. + 1 Workshop				2540
(  ) 2 Day Conf. + 2 Half-Day Workshops or 1 Full Day Workshop			3085
(  ) 1 Half Day Workshop Only		  		  745
(  ) 2 half-day Workshops Only				1490

Team Discount: Groups of 3-4 or more may deduct $100 per person. Groups of 5 – 10 may deduct 15%, groups of 11 or more may deduct 20%. To discuss any special accommodations for your team, please call Tracey Kimball, Conference Program Manager, at 781-891-8080 ext. 214 or via email at tracey@roundtable.com.

Four ways to register:
Call:	1-800-338-2223 or 781-891-8080
Fax to: 	781-398-1889
Internet: 	www.ManagementRoundtable.com
Mail: 	Management Roundtable, 92 Crescent Street, Waltham MA 02453 USA

Please accept the following registration(s): (please use photocopies for additional people)
Please check your registration option above in the space marked “(  )”
Please indicate workshop selections (if any):  Morning: A__  and/or Afternoon: C__; OR Full-Day Session B__

Name:  Mr./ Ms	
Title:	
Company:	  Division/Dept.:	
Address:	
City/State/Zip:	Country:	
Phone:	 Fax:	
Email	

Payment Information - (Amount $	)
	__ Check enclosed, payable in US funds to Management Roundtable.
	__ Please bill by __ Visa __ Mastercard __ AMEX __ Diner’s Club
Account #	Exp. Date:	
Name on card:	  Signature	
Please bill my company, PO #		
Registration Code:  WEB DOWNLOAD