INQUIRY / ENROLLMENT FORM
(for payment via check)

If paying by check, please pre-register for this series by filling in and submitting the information requested below. If you do not wish to register electronically, you may call Pam Daniel at 901.766.4513. This form may also be printed out and faxed to 901.766.8158.

Or, if you prefer to charge your fee via VISA, MasterCard, or American Express, you may CLICK HERE....

Please select from the following options:

Yes! I want to participate in Informa Economics' Transportation and Logistics Roundtable Series. The annual rates below include a series of 3 meetings in various locations over the year, with up to 3 attendees from your company at each meeting.

My rate will be:

Informa Client Rate of $6,000 per year
(available for current Informa Economics, Inc. project or research retainer clients)

Non-Informa Client Rate of $7,500 per year

Please have someone contact me to provide further information.
My contact information is listed below.

Name:*

Title:

Company:

Address:

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Payment Options:

I am sending a check (payable to Informa Economics, Inc.).

Please send an invoice.

If you are mailing a check, please sent payment to:

Pam Daniel
Informa Economics, Inc.
775 Ridge Lake Blvd., Suite 400
Memphis, TN 38120-9403

Telephone 901.766.4513
Fax 901.766.8158

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